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RF-12-494Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Inspection Number: INSP- 171366 Permit Number: RF -3- 12-494 Scheduled Inspection Date: June 08, 2012 Inspector: Bruhn, Norman Owner: LERET, LILIANA Job Address: 52 NW 99 Street Miami Shores, FL 33150- Project: <NONE> Contractor: A&J ROOFING CORP Permit Type: Roof Inspection Type: Final Roof Work Classification: Tile/Flat Phone Number Parcel Number 1131010330050 Phone: (305)599 -2782 Building Department Comments RE -ROOF TILE AND FLAT Inspector Comments Passed � J Failed Correction Needed Re- Inspection Fee No Additional Inspections can be scheduled until re- inspection fee is paid. June 07, 2012 For Inspections please call: (305)762 -4949 Page 3 of 8 C A IR L A B) I N C. June 4, 2012 A &JRoofing 7947 NW 64 St Miami, FL 33166 RE: TILE UPLIFT TEST PROJECT INFORMATION PROVIDED BY THE CLIENT: 52 NW 99 St Miami, Florida Folio: 11- 3101- 033 -0050 Permit#: RF -3 -12 -494 Date inspected: June 2, 2012 Date completed by: May 29, 2012 Roofing Contractor: A & J Roofing Company Carlab, Inc Project # 12 -7424 Testing lab Certificate #: 09- 0127.04 Dear Sirs, In accordance with your request and authorization, a representative of Carlab, Inc completed the Roof Tile Uplift Test at the above referenced project. This testing was performed in general accordance with Roofing Application Standard TAS No.106 Standard procedure for field verification of the bonding of mortar or adhesive set tile system and mechanically attached, rigid, discontinuous roof systems. The total of the tested roof surface area was estimated to be less than 1700 square feet, and the mean height of the roof is estimated to be less than 20 feet above ground surface. The type of tile used for this project was reported to be Varea Spanish S Red Clay Roof Tile. This tile was reported to have been foamed in place. At the time of this testing at least one test for every 100 square feet of roof tile in the perimeter area and one test for every 200 square feet of roof tile in the field area were performed. These results are valid at the time of testing only, walking on the roof surface or any other type of disturbance may loosen the tiles and alter the results of this test. Based on our test results, we conclude that the installation of the roof tile at the above referenced project meets the test requirement outlined in the above mentioned protocol. Attached please find a copy of our test report for your review. Should you have any questions or if we may be of further assistance, please do not hesitate to contact the undersigned. Respec -'submitted, io Labiste, PE 61733 8730 SW 25 STREET • MIAMI • FL • 33165 • PHONE: 305.283.3512 *FAX: 305.226.0438 Test Test load (lbf) Test Status 1 35 Pass 2 35 Pass 3 35 Pass 4 35 Pass 5 35 Pass 6 35 Pass 7 35 Pass 8 35 Pass 9 35 Pass 10 35 Pass 11 35 Pass 12 35 Pass 13 35 Pass 14 35 Pass 15 35 Pass 16 35 Pass 17 35 Pass 18 35 Pass 19 35 Pass 20 35 Pass 21 35 Pass 22 35 Pass 23 35 Pass 24 35 Pass 25 35 Pass 26 35 Pass 27 35 Pass 28 35 Pass 29 35 Pass 30 35 Pass 31 35 Pass 32 35 Pass 33 35 Pass 34 35 Pass 35 35 Pass 36 35 Pass TILE UPLIFT TEST FOR Residential Home 52 NW 99 St Miami, Florida Proj ect#:12 -7424 Test Test load (lbf) Test Status 37 35 Pass 38 35 Pass 39 35 Pass 40 35 Pass 41 35 Pass 42 35 Pass 43 35 Pass 44 35 Pass 45 35 Pass 46 35 Pass 47 35 Pass 48 35 Pass 49 35 Pass 50 35 Pass 51 35 Pass 52 35 Pass 53 35 Pass 54 35 Pass 55 35 Pass 56 35 Pass 57 35 Pass 58 35 Pass 59 35 Pass 60 35 Pass 61 35 Pass 62 35 Pass 63 35 Pass 64 35 Pass 65 35 Pass 66 35 Pass 67 35 Pass 68 35 Pass 69 35 Pass 70 35 Pass 71 35 Pass 72 35 Pass Test Test load (lbf) Test Status 73 35 Pass 74 35 Pass 75 35 Pass 76 35 Pass 77 35 Pass 78 35 Pass 79 35 Pass 80 35 Pass 81 35 Pass 82 35 Pass 83 35 Pass 84 35 Pass 85 35 Pass 86 35 Pass 87 35 Pass 88 35 Pass 89 35 Pass 90 35 Pass 91 35 Pass 92 35 Pass 93 35 Pass 94 35 Pass 95 35 Pass 96 35 Pass 97 35 Pass 98 35 Pass 99 35 Pass 100 35 Pass 101 35 Pass 102 35 Pass 103 35 Pass 104 35 Pass 105 35 Pass 106 35 Pass 107 35 Pass 108 35 Pass 8730 SW 25 STREET • MIAMI • FL • 33165 • PHONE: 305.283.3512 •FAX: 305.226.0438 Test Test load (lbfj Test Status 109 35 Pass 110 35 Pass 111 35 Pass 112 35 Pass 113 35 Pass 114 35 Pass 115 35 Pass 116 35 Pass 117 35 Pass 118 35 Pass 119 35 Pass 120 35 Pass 121 35 Pass 122 35 Pass 123 35 Pass 124 35 Pass 125 35 Pass 126 35 Pass 127 35 Pass 128 35 Pass 129 35 Pass 130 35 Pass 131 35 Pass 132 35 Pass 133 35 Pass 134 35 Pass Test Test load (lbf) Test Status Test Test load (lbf) Test Status 8730 SW 25 STREET • MIAMI • FL • 33165 • PHONE: 305.283.3512 •FAX: 305.226.0438 p , N vi IH z U 48 H O �Y) I I I I O + q O — ± + O .+. .+. + + o I + — e + I I I + + + + + - - - o — + + + + — + + — + + O S_ U + + I I I I + 4. + + + + + + + + + + O + + + + + + + + + I + O I + ° O I I LEGEND + FIELD TEST — PERIMETER TEST o CORNER TEST chin CHIMNEY - C A IR. L A 7B, IL N C. /I ENGINEER AND PLANNERS CERTIFICATE OF AUTHORIZATION 6419 II15' 8730 S.W. 25 ST, MLAML, FL 33165 TED 335 2833512 PAX 305 22&0438 APPROX. ROOF TEST LOCATIONS AND DIMENSI ❑NS Miami Shores Village Building Department MAR 2 , D2 10050 N.E.2nd Avenue, Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 INSPECTION'S PHONE NUMBER: (305) 762.4949 Zit I Z_' 4110-444 FBC 2010 B IL ING Permit No. '; 2.4-'4C34- PERMIT APPLICATION Master Permit No. Permit Type: BUILDING JOB ADDRESS: -5 2_ (i'J 1k) 99 S-V- City: Miami Shores County: Miami Dade Folio/Parcel #: — 3'. 0 e 03'5 -- OOSp Zip: 33 L'SO Is the Building Historically Designated: Yes NO Flood Zone: OWNER: Name (Fee Simple Titleholder): 1 t (2,...) (loo L (phone #: Address: g 0 7 J Le_) City: k1, i ct V i State: 1 Zip: 3 317 8 Tenant/Lessee Name: tV A Phone #: Email: CONTRACTOR: Company Name: 44....--5 p O a Ai rn CO rit) Phone #: '-e0 ' J� % —.)-7 Address: 7 `i' 7 tut.) k j f- s .f E City: /%--t t Gi v < State: r- ( Zip: 3 ((Q Qualifier Name: 14 I -) 0,.2r\ G UP f (Q V O Phone #: 3�4 _ lag �. State Certification or Registration #: cee l 3 2_e 0 38 Certificate of Competency #: jj _ Contact Phone #: 'Jo5- P 7 8f 2 Email Address:. See r�e-taay� a. a col 12.c04-I n1 1 • Conn DESIGNER: Architect/Engineer: fl) I Pr Phone #: Value of Work for this Permit: $ 11 000 Square/Linear Footage of Work: 1 3 7 °I S f Ty a ofWorl ,UAddition .;_Alteration UNew p L1fRepair/Reptace D f sciti ►tiwn fiW r l :1.� " ' * () -o o t° A-0 � , (- t Q s �. '.fizeki ier ❑Demolition ** * * *** * * * * *,* * * * * * * * * * ** **Fees * * * * * * * * *x* ** * * * * * * * * * * * * * * ** * * * * * * * * ** Submittal Fee $ Permit Fee $ c)02 CCF $ CO /CC $ Scanning Fee $ Radon Fee $ DBPR $ Bond $ Notary $ Training/Education Fee $ Technology Fee $ Double Fee $ Structural Review $ TOTAL FEE NOW DUE $ Bonding Company's Name (if applicable) Bonding Company's Address City State Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address • 0 0 0,4 City , State Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS and MR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection will not be approved and a reinspection fee will be charged. Owner or Agent The foregoing instrument was acknowledged before me this 2/ day of/ /_, 2042 , by b/i ,tiv1 laveycv, /ere/ , who is p to me or who has produced As identification and who did take an oath. NOTARY PUBLIC: Sign: Print: My Commission Expires: ilia Signature • Contractor The foregoing instrument was acknowledged before me this .2/ day of O CL.e , 20 g , by N\-% 6 fie\ (ov r& o&0, who is p to me or who has produced as identification and who did take an oath. Ma¢.cpsMMISSION # DD973716 EXPIRES March 22, 2014 F-Novs.cog, t4o7t 398.0153 **** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPROVED BY NOTARY PUi Sign: Print: My Commis t' :MY COMIIAI$SION li DDT83O% Npry Asa EXPIRES Apt# 27, 2012 *********** ***************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Structural Review (Revised 3 /12/2012XRevised 07 /10 /07XRevised 06 /10/2009)(Revised 3/15/09) Zoning Clerk APR -6 -2012 08:44A FROM: NOTICE OF COMMENCEMENT TO:3057568972 P.2 1 111111 11111 11111111111111111111111111111 1111 CFN 2012F:021 4-039 OR Bk 28048 Ps 09704 (1os) RECORDED 03/27/2012 09:22:39 HARVEY RUVINI CLERK OF COURT MIAMI -DADE COUNTY? FLORIDA LAST PAGE A RECORDED COPY MUST I3E POSTED ON THE JOB SITE AT TIME OF FIRST INSPECTION PERMIT NO. TAX FOLIO NO. /I— ,3 /Q /.fy3,3_e STATE OF FLORIDA COUNTY OF DADE THE UNDERSIGNED hereby gives notice that improvements will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the following information is provided in this Notice of Commencement 1. Legal description of property and street address: Mkt yet SzkveS Sec. (o P � J 0 -31 ' a 7a 6 /L /Z ((4V$i 2.e, ltpU.dpQxtU t7 . / b3s s-_ 15Ri bagg r a. 2 jam. ZG7J 0 9300 O'P ,.,C 7 / 7 j z tyo9a,z _ 5� 1Uw 41.5 71- Nron): s •sfr' 2. Description of improvement: � _ 3. Owner (s) name and address: Interest in property: &V a.?' .?' iv to / 09 G7' ,' lra,: A/ ..L'/7g tt)/,4- Name and address of' fee simple titleholder: 4. Contractor's name and address: H- "S /0A-n .5f 5. Surety: (Payment bond required by owner from contractor, if any) Name and address: PI P Amount of bond: $ ill A 6. Lender's name and address: I H E R E B Y C E R T I F Y t h a t t h i s f s ebue oopyof ottinaf day of . A.D. 20 2, WRNESS my hand and Offal Seal. HARVEY 1=r I.ERK c# t and County Court 45,x:,3 'i G ri h � � r � gt ^fp 'Ea. ;' ' 7. Persons within the State of Florida designated , y Owner upon whom notices or other documents may be served as provided by Section 71333 10//it, (1) (a)7., Florida Statutes: 10//it, Name and address: 101 /9' 81n addition to himself, Owner designates thefolla�g person (s) to receive a copy of the Lienor's Notice as provided in Section 713. 13 (1) (b) 7., Florida Statutes: // Name and address: 9. Expiration date of this jieeof Com /cement (the expiration date is 1 year from the date of recording unless a different date is specified) !,-G Signature of Owner Print Owner's Name Sworn to and subs Notary Public Print Notary's Name My Commission Expires: Prepared by: r, t l n U e ( G gre f ✓ r'R this _�_ day of 20 L r U Address: K,1 i G. rn i t4-( 331 Q /1?Gtrc�� MIGUEL VWWRRFRO "S ' " : 'M'v COMPASSION # DD973710 EXPIRES March 22, 2014 Janata-ow . RorldaN v .c % Farm 1s APR -6 -2012 00:44A FROM: TO:3057568972 P.3 ‘14-5;;IP CERTIFICATE OF LIABILITY INSURANCE DATE (NNWOIYYYY) 03DATEI12 10,31 > THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATF'HOLDER. IMPORTANT: 11 the cerflcats holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy, certain policies may require an endorsement a statement on this certificate does not confer rights to the certiflcate holder In lieu of such endorsement(s). PRODUCER aigbpoiat Risk Services LLC 553.0 LB,7 Freeway, Suite 1200 Dallas, TX 75240 CaaTarTMMm, e'4" wawwt+ (800) 728-0823 IwulPAN* (972)404-0380 !AWL MOM INSURERS APFORDINOCOVERAGE ENDS 1 ' .' union pte5arty ana Casualty I,aturaoco eatiPanY 12157 INSURED: »s 1 /c /f: A 6 a ROOFING CORP. 7947 NW 64 t3TREET MIAMI, FL 33166 Phones (305) 699 -2782 Fax, (306) 899 -2783 INSURER B: INSURER C ❑ )NSVRERD: INSURER E: INSURER F: $ COVERAGES CERTIFICATE NUMBER: AC12 - 910 0343- 1007166 REVISION NUMBER: `THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LUMITB SHOWN MAY HAVE RFFNAFIIURFrf RY PAID CI AIMR • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. MI TYPE OF INSURANCE Aim ems mak VND POLICY NUMBER DAI 7MM/00/ri1 DAMINIroDMn LIMITS GENERAL LIABILITY COMMERCIAL GENERALLIABIU1Y ❑ ❑ EACH OCCURRENCE $ pAutusFAma� 1 $ ( CLAIMS MADE OCCUR MED EXP (Any ono parwn) PERSONAL &ACM INJURY $ GENERAL AGGREGATE $ GENT. AGGREGATE LIMIT p� I A,PPPLIES PER JECr tLOO PRODUCTS • COMP/OP AGG 6 POLICY I f $ AUTOMOBILE �ANYAUTO _,r, — LIABILITY ALL OWNED AUTOS solemn= AUTO$ HIRED AUTOS NON OWNEDAUTOS El ❑ COMBINED SINGLE LIMIT (Ea aaddan0 $ t BODILY INJURY (Per perm) 8 d4n BODILY INURY (Per aad0 8 PROPERTY DAMAGE (Per accldant) 8 $ $ UMBRELLA LJAB EXCESSLIAB o. IADE OCCUR ❑ 0 , EACH OCCURRENCE 8 AGGREGATE 8 _ DEDUCTIBLE RETENTION $ 8 8 A WORKERS COMPENSATLON AND EMPLOYERS' LIABILITY y� ANY P�CUTIVB NI OFFICER,MEMBEREXCLUDEDT LBJ t aor In Nth SPECIAL PROVISION Wow WA fl DPE2627274 04/01/203.2 04/01/201 X 11'CRallilre I I E.L. EACH ACCIDENT $ 1000000 E.LOIBEASE•EAEMPLOYEE i 1000000 E L D18EA8E- POLICY LIMIT $ 1000000 1111 III DESCRIPTION L. OP OIiERA1WNSflOCA Thiel ramai ip eaBtol11a 8 neempi in y A0a0844 ACOORD101, Additionl::Rmxw Sch edule, if more spear Is recydred fCpaao�t ti eSFANi ea d to A 1 3ROI a 30R$eieci standing AMS. den 1 /3i�• CERTIFICATE HOLDER CANCELLATION CITY OF MIAMI SHORES BUILDING DEPARTMENT 10080 NE 2ND AVE MIAMI SHORES, FL 331382304 • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE -- ACORD 25 (2010106) "e.....-c4"1----.1 CERTIFICATE OF LIABILITY INSURANCE 03/27 20012210,31 )PM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the cerficate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. a statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Highpoint Risk Services LLC 5510 LBJ Freeway, Suite 1200A, Dallas, TX 75240 COMTACTNAME P (NC•NO,Ez (800) 728 -0823 jam .l (972) 404 -0380 LIB INSURERS AFFORDING COVERAGE NIAIC 6 INSURER A Companion Property and Casualty insurance company 12157 INSURED: AMS 1 /c /f : A & J ROOFING CORP. 7947 NW 64 STREET MIAMI, FL 33166 Phone: (305) 599 -2782 Fax: (305) 599 -2783 CAVFRO[:FC ncnrrcrne rc ...... INSURER B: INSURER C: EACH OCCURRENCE INSURER D; DAMAGE TO RENTED PREMISES (Ea occurrence) INSURER E: INSURER F: MED EXP (Any one person) -- -- .2- .+.uo,.Loo ICCVIOILMY NUMOCK: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDMONS OF SUCH POLICIES. LIMITS SHOWN MAl( HAVF BEFN RFDI ICFn RY PAID CI AIM.. ILNSRR TYPE OF INSURANCE I�RL SUBR POLICY NUMBER POUCY EFF DATE (MMIDD/YY) POLICY EXP DATE (MM/DDIYY) LIB GENERAL LIABIUTY COMMERCIAL GENERAL LIABILITY ❑ ❑ EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence) $ CLAIMS MADE ❑ OCCUR MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ GEM. AGGREGATE LIMIT APPUES PER: 7POUCY n JEa n LOC PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE — _ — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS ❑ ❑ COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INURY (Per accident) $ PROPERTY DAMAGE ( accident) $ $ $ — — UMBRELLA LIAB EXCESSLUI6 DEDUCTIBLE CLAIMS-MADE OCCUR ❑ ❑ EACH OCCURRENCE $ AGGREGATE $ RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY YIN ANY PROPERIETOR /EXECUTNE N OFFICER.MEMBEREXCLUDED? Mandatory andatory In NH) N yes, describe under SPECIAL PROVISION below N/A ❑ DPE2627274 04/01/2012 04/01/2013 W g UAMITS T� % I TORY I O E.L EACH ACCIDENT $ 1000000 E.L DISEASE - EAEMPLOYEE $ 1000000 EL DISEASE- POUCYUMIT $ 1000000 ❑❑ DESCRIPTION OF OPERATIONSILOCATIONSIVEHICI FC(Attached ACORD101, Additional Remora Schedule, U more space Is required AThis c rtiftitcate Tsmeixa in effect�b ro•idedh hs cl�ien 's count is in good Stanadin w t AMS. AM ppplfesetos1000t ozfotieeempioyeet 0 A1$ leased wtocA & J3 ROOFING18ORPt,reli?ectNew� oli 012 • RRCTICI(•ATC unr r,ces CITY OF MIAMI SHORES BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES, FL 331382304 ACORD 2512111 WOK) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE r° * -,s. – - - - ,",�� R� -�'' -2010 ACORD CORPORATION. All right reserved CERTIFICATE OF LIABILITY IN LIRANCE DATE (MWEDA'YYY) 03/21/2012 08:09 AM THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ANC CONFERS No RIGHTS UPON THE CERTIFICATE HOLDER. ThIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE R PRODUCER AND THE C TI GATE 14 LDE IMPORTANT : If the cerflcate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, a statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER Xighpoint Risk Services LW 5510 LBJ Freeway, Suite 1200 Dallas, TX 75240 VINTACTKAME: , 0,06a NANG; Dag (800) 728-0023 laztAcficei (972)404.0380 commensals INSURERS AFFORDING ooventaa INSURER OarspastaS. Praparty and Casualty 7.7trpt.atkilVe. csspaty h1A103 12137 INSURED' ANS l/c/f: A J ROOFING CORP. 7947 NW 64 STREET MAN', FL 33166 Phone: (3051 550-2752 Fax': (305) 59$-27$3 INSURER IS: INSURER 0; INSURER !NSURER e INSURER F • A(12-100343.-1O7 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAME ABOVE FOR THE POLICY PERIOD INDICATED. NOTWIThSTANDING ANY REOUIFIEMENT, TERM OR CONDITION OF ANY CONTRACT 0g OTHER COMMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PER TAN, THE INSURANCE AFFORDED BY THE pouctEs DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAW RFEN RFDLICFABY PAM CLAMS INSR LTR TYPE OF INSURANCE ADM DOR , 5U5R SAID POLICY NUMER Lfy IGYIFF__ DATE ININVDDITY) L CY P A LIMITS GENERAL _ LIABILITY COMMERCIAL GEN LIABILITY ED OCCUR QCCUP 0 0 EACH OCCURRENCE $ DAtuasToRemio Nacvemememmmmo. 4 $ CLAIMS MADE D EXP {Anyone person) $ PERSONAL & ADV INJURY $ — _ GENERAL AGGREGATE GEM, AGGREGATE LIMIT APPLIES --- POLICY 1 1 jEar PER PQDUCTS . OOMP/OP ADO $ F--1 1 1 LOC AUTOMOBILE — — LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON-OWNED AUTOS II COMBINED SINGLE LIMIT (Ea =Mar% $ BODILY INJURY (Per per*) BODILY INURY (Pet pallet* 5 PROPERTY DAMAGE (Per acadeen UMBRELLA UAB EXCESS LIAB clims.weE 1 OCCUR 0 0 EACH OCCURRENCE AGGREGATE DEDUCRBLE RETENTION $ $ WORKERS COMPENSATION EMPLOYERS LIABILITY ANY PRoPERIETOMEXECUTNE OFFISERMEMBER EXCLUDED? (Mandatory In NH) If yes, describe under SPECIAL PROVISION below AND Y/N WA 0 DPE26272740060 04/01/2011 04/01/2012 - - ST., X I TSY LA I jop E.L. EACH ACCIDENT 1000000 t E i asEASE - EA EMPLOYEE _ _ _ _ _ 1000000 E.L., otsaikse , POUCY LIMIT 1000000 00 DESCRIPTION-OF OPERATIONEVLOCATIONS/VEHICLESIAltached ACORGHTI, Additional Remarks Schedule, 0 more space is required . This certificate remaihs in eff0Ct, proVided the oliehris account ie in gOod 4tandihh with XIS. 0 e mp oyee o ease o s ., e ec i e 10f23et"188i BEWeg 'ir AnX 'FAN' et'l K-aa R66lik'8011?' '? r't4 eg761/831."' CERTIFICATE HO R LANCE LATION CITY OF HIM/ SHORES BUILDING DEPARTMENT 10050 NE 2ND AVE MIAMI SHORES., FL 33.1382304 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. '---- --. AUTh0RZE0 REPRESENTATIVE ........ ACORD 25 (2010/05) @ 1988-2010 ACOR RPORATION. Alt right reserved A 5 IJ CERTIFICATE OF LIABILITY INSURANCE DATE oil ) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Casualty Systems Inc. 3331 SW 107 Ave Miami FL 33165 CONTACT Juan Hernandez NAME: HONE • (305) 551 -0590 FAX , Not (305)551 -0857 ADDRESS :admin @casualtysystems.com PRODUCER 00000357 CUSTOMER ID #. INSURERS) AFFORDING COVERAGE NAIC # INSURED A & J Roofing Corp. 7947 NW 64 St Miami FL 33166 INSURERA:Colony Insurance Company OCCUR INSURER B : INSURER C: 11/28/201111/28 INSURER D: EACH OCCURRENCE INSURER E : PREMISES (Ea occurrence) INSURERF: COVERAGES CERTIFICATE NUMBER:CL1151701904 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLI CIES LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL WWUVBDR POLICY NUMBER EFF (MIWDD/ YY) LIMITS A GENERAL X LIABILITY COMMERCIAL GENERAL LIABILITY X OCCUR 0778786 —A 11/28/201111/28 /2012 EACH OCCURRENCE $ 1,000,000 PREMISES (Ea occurrence) $ 100 , 000 CLAIMS -MADE MEDEXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER POLICY JECT P1 LOC PRODUCTS - COMP /OPAGG $ 2,000,000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULEDAUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY AGE accident) $ $ $ UMBRELLA UAB EXCESS LIAB _ OCCUR CLAIMS -MADE - EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ WORKERS COMPENSATION AND EMPLOYERS' UABIUTY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS �, I N N / A WC STATU- OTH- TORY LIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 107, Additional RemarksSchedule, If more space Is required) CERTIFICATE HOLDER CANCELLATION (305) 795 -2204 Miami Shores 10050 NE 2nd Ave. Miami Shores, FL 33138 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Juan Hernandez /YOYI d -- ACORD 25 (2009/09) INS025 (200909) © 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD AQ# tUS •, , S ATCTZ:0 ti.:41:0: q.4NS • , ..±4; ... 0Ma ; !''‘4 , -ZWYVATRY..-tY '..",0'1.•; ,:.41/46” .40:`-:...."' -.-.••••/. . L. k.fc.',..; • •••••• -• • h! ..... . .7;777:- ',„4 , • ' -1 ,-;?".,:. ,.., , ' 4 .;"„.„."7".,:4.-• I. : , '4. A I, • . ... • i C , ?of-, '7: "r., 1 ' • , - _l i . . '''': .."1.4".' ; -1,,..1.... •••■ _ , ' , )'. • al * ...., .. . , , 1 .'.... .. ••■ 1 ' R ■ . ,11.;P,, '1,, ,. 1,,, e 31 ;; t!, ; "•'''•if,. ..:...:•'It e • ,.. i 4 ''' . ,.. ,. ... • ' • '' I, ;., , " t ' ' . ge... V.•,., .2."4:4,4„..•'....iP,.;%;; #,,, ..:*' t." 9.'"';''. 61 . • !1/4, ..+:;•7••,...•..,g;••4:.•;:.•,...., '•••'`.;:. , ..••■•., Z , ,,,..*, - .., L - ' i • . . •t, •••• ••• --7.,- . ,I.::•,,, • •• 1'+'-.1k,.... - • •••-. .. i .. . -.-•:- . -,-.... ;i:..„?,=a;,,:.,',--,. • , ..,., .. t(*.i.:.■11::::,:, p. . • ro, L , .., • ,1 ti ,..J. ., 14%,,,,,...- 4.. . ..... ,::-,:....,, ,4 1 •,(C) ; , ., . '‘..■ ..... ..1 ..., , gy i:-. 4 , i 1 1 i • "" 1 . q , - A 1: . , . : ASLQplREJPw ' . ... . • [ ! ■ 11 1 MIAMI -DADE COUNTY TAX COLLECTOR 140 W. FLAGLER ST. 1st FLOOR MIAMI, FL 33130 602991 -2 BUSINESS NAME / LOCATION A & J ROOFING CORP 7947 NW 64 ST 33166 UNIN DADE COUNTY OWNER A & J ROOFING CORP Sec. Type of Business 2011 LOCAL BUSINESS TAX CEIPT 2012 MIAMI -DADE COUNTY - STATE e F FLORIDA EXPIRES SEPT. 30, 2 12 MUST BE DISPLAYED AT PLACE OF BUSINESS PURSUANT TO COUNTY CODE CHA' R 8A-- ^ART. B'& 1 THIS IS NOT A BILL — DO NOT PAY THIS IS QNLY ASLCIALTY BUSINESS TAX RECEIPT. IT DOES NOT PERMIT THE HOLDER TO VIOLATE ANY EXISTING REGULATORY OR ZONING LAWS OF THE COUNTY OR CRIER. NOR DOES IT EXEMPT THE HOLDER FROM ANY OTHER PERMIT OR LICENSE REQUIRED BY LAW. THIS IS NOT A CERTIFICATION OF THE HOLDER'S QUALIFICA- TIONS. PAYMENT RECEIVED MIAMI -DADE COUNTY TAX COLLECTOR: 07/05/2011 09010918001 000075.00 SEE OTHER SIDE BUILDING CONTRACTOR RENEW L RECEIPT NO. STAT:# CCC13280'8 WO'KER /S 1 DO NOT FORW RD A & J ROOFING CORP MIGUEL GUERRERO PR 7947 NW 64 ST MIAMI FL 33166 S iitf11 11 1il IllfitifII IiII11 L1 1111111111,1111f111I)JIIILfLf'f 2905 FIRST -CLASS U.S. POSTAGE PAID MIAMI, FL PERMIT NO. 231 Permit No: 12-494 Job Name: March 23, 2012 Miami Shores Village Building Department Building Critique Sheet 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 1) The product approval for the flat roof does not match section C.75Ib and Dens deck are not listed options. 2) Section E shows a medium paddy placement but the product approval shows only a large paddy placement. 63.2 is for large paddy. Correct sections D and E. 3) Provide a sample of the tile to show that the color is thro.gh. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 FA-% ; 30'S -- S -- 2.1 �s� 03/26/2012 14:10 FAX 1 800 685 7530 DATA SCAN FIELD SERVICES L1001 * * * * * * * * * * * * * * * * * * * ** * ** TX REPORT * ** * * * * * * * * * * * * * * * * * * * ** TRANSMISSION OK TX /RX NO 2388 RECIPIENT ADDRESS 93055992783 DESTINATION ID ST. TIME 03/26 14:09 TIME USE 00'34 PAGES SENT 1 RESULT OK Permit No: 12-494 Job Name: March 23, 2012 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 Page 1 of 1 Building Critique Sheet 1) The product approval for the flat roof does not match section C.75Ib and Dens deck are not listed options. 2) Section E shows a medium paddy placement but the product approval shows only a large paddy placement. 63.2 is for large paddy. Correct sections D and E. 3) Provide a sample of the tile to show that the color is throigh. Plan review is not complete, when all items above are corrected, we will do a complete plan review. If any sheets are voided, remove them from the plans and replace with new revised sheets and include one set of voided sheets in the re- submittal drawings. Norman Bruhn CBO 305 - 762 -4859 F : 30'5- SCl i 2--7T53 Property Information Map Property Information Map http: / /gisims2. miamidade. gov /myhome /printmap.asp ?mapurl =http: / /g... My Home Miami -Dade County, Florida Aerial Photography - 2009 0 This map was created on 3/21/2012 11:59:47 AM for reference purposes only. Web Site © 2002 Miami -Dade County. All rights reserved. 1 of 1 111 ft Summary Details: Folio No.: 11- 3101 - 033 -0050 Prope : 52 NI/V-66 ST Mailing (LIANA BURGOS LERET dress: 408 NW 109 CT MIAMI FL 3178- Property Information: Primary Zone: 800 SINGLE FAMILY RESIDENCE CLUC: Beds /Baths: 0001 RESIDENTIAL - SINGLE FAMILY 2/1 Floors: 1 Living Units: 1 CAd F_g S Dotage:_ Lot Size: 1,279 10,200 SQ FT (Year Built: 1946 Legal Description: MIAMI SHORES SEC 6 PB 10-39 LOTS 7 & 8 BLK 128 LOT SIZE 100.000 X 102 OR 16355- 1996 0494 1 COC 5978 -2621 09 20071 OR 7994 -4834 0911 12 Assessment Information: Year: 2011 2010 $86,440 $86,440 $96,884 $96,884 ........... $183,324 $183,324 Land Value: (Building Value: 'Market Value: 'Assessed Value: $183,324 $183,324 Taxable Value Informat'on: frear: 2011 2010 Applied Applied Twang Authority: Regional: County: City: $0/$183,324 $0/$183,324 School Board: $0/$183,324 $0/$183,324 Sale Information: Exemption/ Taxable Value: $0/$183,324 $0/$183,324 Exemption/ Taxable Value: $0/$183,324 $0/$183,324 Sale Date: 9 /2011 Sale Amount: $70,000 Sale O /R: 7994 -4834 Sales Deeds to or from financial Qualification institutions Description: View Additional Sales 3/21/2012 12:00 PM Apr.08.2011 11:24 PM Herb & Lili Leret A. SETTLEMENT STATEMENT i._ TIPS OFLf31Mk xd Flu a j ,Aau► R. oath urea. vA es. Cl com 3058884609 LIAL and Urban �RG PAGE. 2/ T1 9189019 llil♦of Dam Liar Mmmainkha MEN 81115 RW 1ap CNN 1OODTenbatepyDAfe. Ae349 Wan MT amp,reg Falseusly 213111 tlatouromut now Fs ma& %IOU 182 ORC0314140fteDUSFROUttihle 401/1:4 MMILTLaj EEO1 TOTAL REERNITIONAlakair 1ReMUM Cie Ai To re err taut Xr t}t TO • tansitatamemOmedislina CASii X TO) t FROM )11 lalt s- REV.tuEM SW 4 l _ Apr.08.2011 11:24 PM Herb & Lili Leret 3058884603 PAGE. 3/ 4 J7c !..z:�" * ,z'. M £' L E.1. ._ iiNnUmmominmil rim= imair111i . vImriiu1iomuili II +� "iii ■N� Li. ■i "L" X11: ��' E '_ tt ' = ' c MEW “71E1- •-• Illtr7"11A1111•111111111Mmumminaimml11111101ffilisiliall ,-7iNermummiummumumumilminemmempw mom= �'. p, frit ar. "71111mr 52 r� F ;t 1 ` _.may kYVEZ7'Vr-7,- :7/111111111117-.111111111•1r-31I,' Y � _ :.:i. CRRa ,.•nelomMtr W P4�M7Id6 .7" =VW tabe0LW00pok 'Apr.08.2011 11:25 PM Herb & Lili Leret 3058884609 with Leta Swede Leret 8408 NW 108th Cowt FL 33178 Leader: CASH � S1 LI.Ct Std 742 TBntps, 19- 33634 teems* Oeb: February NW 99th Prepay Street MI.ml 8hotee, ..,e,rF,,L.,_. X3.,3160 County, Merida 1001 Tectuedegy Drive, MS 31E9 CtFetioe, MS 823054240 PAM. 4/ 4 'Robbie Ller Swab, Mc SaUsr hlvast Q%m t �_....._.. —� 10, 6008 M o o r Esq. Miami Shame Wage h8e1 ttada water & Wrtet Mead Dade TdxCo& FAROS Property Fee 7.08 1, Toed Additional made yin as to 1305 *===109 $ 1 Settlement Statement end to the bead myla rLe,aandW*,tiieehuetatd ml+amount or by me in the E emlit St Mame Default - Limited LW* Comm MOM FindAmerimm Asset Cie** e CeNornitt ComaretiOn. as Athirmerin-Red PAM :. AN tts; t bsokide ` *Ow t ` llsWest tuMe irdem. =aft Ot bre.A Ipseponamo. Par doles tTPtt i10031pl�t18 pFJxt114411o80t1a 11 Miami Shores Viiiage Building Department 10050 N.E.2nd Avenue Miami Shores, Florida 33138 Tel: (305) 795.2204 Fax: (305) 756.8972 OWNERS'S AFFIDAVIT OF EXEMPTION ROOF TO WALL CONNECTION HURRICANE MITIGATION RETROFIT FOR EXISTING SITE - BUILT SINGLE FAMILY RESIDENTIAL STRUCTURES PERSUANT TO SECTION 553.844 F.S. To: Miami Shores Village Building Department 10050 NE 2nd Ave Miami Shores, Fl 33138 Date: – Re: Owner's Name: Property Address: 5 .- 1v 1(1%4-- Roofing Permit Number: P 2 --- gel Li Dear Building Official: I Lt U.v,G. 6,rcy s \ere_+ certify that I am not required to retrofit the roof to wall connections of my building because: Ti? ffhe just valuation for the structure for purpose of ad valorem taxation is less than $300,000.00. Please attach proof of ad valorem taxation. ❑ The building was constructed in compliance with the provisions of the Florida Building Code (FBC) or with the provisions of 199' edition of th..outh Florida Building Code (1994 SFBC) fat4,1 t>14---- Print Name State of Florida County of Dade The undersigned, being the first duly sworn, deposes and says that he /she is the owner for the above property mentioned. Swom to and subscribed before me this q '»e —G, day of 2 O) Notary Public, Sate of Florida at Large •►' .v" c"- MIGUEL GUERRERO MY COMMISSION # DD973716 ,2014 Is,ll ( 407) 3a8 -0153 PRaWallotaryService.c» do • When the just valuation of the structure for purpose of ad valorem taxation is equal to or more than $300,000.00, and the building was not constructed with FBC nor a 1994 SFBC. Then you must provide a building application from a General Contractor for the Roof to Wall connection Hurricane Mitigation. Revised on 5/21)2009 SECTION R4402.13 HIGH VELOCITY HURRICANE ZONES — REQUIRED OWNERS NOTIFICATION FOR ROOFING CONSIDERATIONS R4402.13.1 Scope. As it pertains to the section, it is the responsibility of roofing contractor to provide the owner with the required roofing permit, and to explain to the owner the content of the section. The provisions of Section R4402 govem the minimum requirements and standards of the industry for roofing system installations. Additionally, the following items should be addressed as part of the agreement between the owner ant the contra tor. T e owner's initial in the designated space indicates that the item has been explained. 1. Aesthetics-Workmanship: the workmanship provisions of Section R4402 are for the purpose of providing that the roof system meets the wind resistance and water instruction performance standards. Aesthetics (appearance) are not a consideration with respect to workmanship provisions. Aesthetic issues such as color or architectural appearance, that are not part of a zoning code, should be addressed as part of the agreement between the owner and the contractor. 2. c} '� �1' Renailing wood decks: When replacing roofing, the existing wood roof deck may have to be renailed in accordance with the current provisions of Section R4403. (The roof deck is usually concealed prior to removing the existing roof system). 3. Common roofs: Common roofs are those which have no visible delineation between neighboring units (i.e., townhouses, condominiums, etc.) In buildings with common roofs, the roofing contractor and /or owner should notify the occupants of adjacent units of roofing to be performed. 4. ' Exposed Ceiling: Exposed, open beam ceilings are where the underside of the roof decking can be viewed from below. The owner may wish to maintain the architectural appearance; therefore, roofing nail penetration of the underside of the decking may not be acceptable. This provides the option of maintaining the appearance. 5. __ Ponding water: The current roof system and /or deck of the building may not drain well and may cause water to pond (accumulate) in low-lying areas of the roof. Pounding can be an indication of structural distress and may require the review of a professional structural engineer. Pounding may shorten the life expectancy and performance of the new roofing system. Pounding conditions may not be evident until the original roofing system is removed. Pounding conditions should be corrected. 6. Overflow scuppers (wall outlets): It is required that rainwater flows off so that the roof is not overloaded from a buildup of water. Perimeter /edge wall or other roof extension may block this discharge if overflow scuppers (wall outlets) are not provided. It may be necessary to install overflow scuppers in ac rdance with the requirements of Sections R4402, R4403 and R4413. 7. Ventilation: Most roof structures should have some ability to vent natural airflow through the interi • •f the structure assembly (the building itself). The existing amount of attic ventilation shall not be redu • It may be -neflcial to consider additional venting which can result in extending the service life of the roof Owner / ' gent' Signa Revised on 7/9/2009 LD re Date Contractor Signat re Date ROOF ASSEMBLIES AND ROOFTOP STRUCTURES Florida Building Code Edition 200 High - Velocity Hurricane Zone Uniform Permit Applicatio Section A (GenerRl Information) Master Permit No ( Process No. Contractor's Name C(� Th 9()( l - Job Address � w q1 s-# PERM d `': APPROVED ZONING DEPT BLDG DEPT M amni Shores Village DATE SUBJECT TO COMPLIANCE Wri}i ALL FEDERAL STATE ANIiCCIJN f diLLES AND REGULATIONS rumem ill"—ow Slope ❑ Mechanically Fastened Tile ❑ Asphaltic ❑ Metal Panel /Shingles Shingles ❑ New Roof ❑ Prescriptive BUR -RAS 160 ROOF TYPE 13/Mortar/Adhesive Set Tile ❑ Wood Shingles /Shakes NO Gas Vet+ id Reroofing ❑ Recovering ❑ Repair ROOF SYSTEM INFORMATION Low Slope Roof Area (SF) Steep Sloped Roof Area (SF) ,r)Q32. 1,17q SF Section B (Roof Plan) Sketch Roof Plan: Illustrate all levels and sections, roof drains, scuppers, overflow scuppers and overflow drains. Include dimensions of sections and levels, clearly identify dimensions of elevated pressure zones and location of parapets. ❑ Maintenance Total (SF) r0 t� 2 5 FLORIDA BUILDING CODE — BUILDING o�- 10 HIGH - VELOCITY HURRICANE ZONES Florida Building Code High Velocity Hurricane Zone Uniform Section C (Low si Fill in Specific Roof Assembly Components and Identify Manufacturer (If a component is not used, identify as "NA ") System Manufacturer: Ua Fla` NOA No.: Edition 2010 Permit Application Form. ope Application) Fastener Spacing for Anchor /Bas Attachment Sheet Field: q " oc @ Lap, # Rows Z @ [ oc t'l 6-Crp Perimeter. (p ° oc @ Lap, # Rows @ l{o oc i n ®`7 lzlq • 09 Design Wind Pressures, From RAS 128 or Calculations: P1: 1(42. P2: g2• (P P3: 12-4 .3 Max. Design Pressure FrQ m the Specific NOA System: G • S Deck: Type: 0 04 / Gauge/Thickness: /5 / t Slope: ill Z Anchor /Base Sheet & No. of Piy(s): I .1)` I bl 7$& ,Q, - Anc or /Base Sheet FastenerBonding Mate al: �i 1 IM R.i .rn s tea vNit_ rc4 t� 11 -fin oar Insulation Base Layer: � ( 6 Corner: (o " oc @ Lap, # Rows ' -t @ ° oc Number of Fasteners Per Insulatlbn Board Field �1,Q1r Perimeter, orner er Illustrate Components Noted an Details as Applicable: Woodblocking, Gutter, Edge Te nation, Stripping, Flashing, Continuous Clea . Cant Strip, Base Flashing, Counter- F aching, Coping, Etc. Indicate: Mean. Roof Height, Parapet Height, eight of Base Flashing, Component terial, Material Thickness, Fastener Type, F stener Spacing or Submit Manufacturers -Deta Is that Comply with RAS 111 and Chapter 16. Base Insulation Size and Thickness: 0 1 A Base Insulation Fastener /Bonding Material: '� n Top Insulation Layer: PO( I Top Insulation Size and Thickness: /13 / A Top Insulation Fastener/Bonding Material: , 1 Base Sheet(s) & No. of PIy(s): Base Sheet Fastener /Bonding Material: 01 A PIy Sheet(s) & No. of Ply(s): 2 PIy Sheet r�Fastener //Bpn ��Mat�ri�l:� �� ( Top Ply: ON Pty e r 6 F Glass rrti rttal Top Ply Fastener/ Bonding Material- @a� kok iAspfnct1� Surfacing: N 1. A 44.22 cr 11 k'.*1 lA `"- t Y1 ...< : 1 le a. vrFT. ( A Parapet Heioht Mean Roof Deck Type: Type Underiayment. Insulation: ,Fire Barrier: ,Fastener Type & Spacing: Adhesive Type: HIGH- VELOCITY HURRICANE ZONES Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section D (Steep Sloped Roof System) Roof System Manufacturer: Q.-Q. CO, r■ i CS,L. U•e ro\. Product Approval Number: (‘ — 07 a D- • 0 a. Minimum Design Wind Pressures, If Applicable (From RAS 127 or Calculations): P1:.4c- 1 P2: -18, (a P3:- i q • D Maximum Design Pressure Product Approval Specific System: 63 •2- Method of the attachment: La 0-_c ,2._ 7cdcLcc 0 Steep Sloped Roof System Description Roof Slope: : 12 dry w�4 s/g 3o Es V-, NR Ridge Ventilation? r)t t Vut r.c� r\4y. tc. .G. S 1.2.° k .l a (1; lo. �-1 F- oak., -e� ype Cap Sheet: Mean Roof Height: 12_ ��1 skl' �►cf v ` )tus Roof Covering: Qa4 s Pa rs(1's' Type & Size Drip 3X3 �� • �� 1Y4 Q .sho r.14 no,.d3 dge: Qrea• 2010 FLORIDA BUILDING CODE — RESIDENTIAL 4423 HIGH-VELOCITY HURRICANE ZONES Florida Building Code Edition 2010 High Velocity Hurricane Zone Uniform Permit Application Form. Section E (Tile Calculations) For Moment based tile systems, choose either Method 1 or 2. Compared the values for M, with the values from Mr. if the Mr values are greater than or equal to the Mr values, for each area of the roof, then the tile attachment method is acceptable. Method 1 "Moment Based Tile Calculations Per RAS 127" /I (P,: 4S• t x A. o.31= 14) •W)- Mt (o•a.I -Aid LO•41 Product Approval Mf'3. x X 0.37 = ael•0R) - Mg: (0- al = Mrl g'% Product Approval Mrk,03 .Z (P3: 11.).. x X U = y 2.. tom') - M, ito •,D. I = Mrs. .11 Product Approval KO . . Method 2 "Simplified Tile Calculation Per Table Below" Required Moment of Resistance (Mr) From Table Below Product Approval Mr Mr Required Moment Resistance* Mean Roof Height - . Roof Slope ,i, 15' 20' 25' 30' 40' 2 :12 34.4 36.5 38.2 39.7 42.2 3:12 32.2 34.4 36.0 37.4 39.8 4:12 30.4 32.2 33.8 35.1 37.3 6:12 28.4 30.1 31.6 32.8 34.9 6:12 26.4 28.0 29.4 30.6 32.4 7 :12 24.4 26.9 27.1 28.2 30.0 *Must be used in conjunction with a list of moment hased tile systems endorsed by the Broward County Board of Rules and Appeals. For Uplift based tile systems use Method 3. Compared the values for F' with the values for Fr. If the F' values are greater than or equal to the Fr values, for each area of the roof, then the tile attachment method is acceptable. Method 3 "Uplift Based Tile Calculations Per RAS 127" (P,: xl:- x w:= )- W:`x cos 0 :• = FM: (P.: x 1: = x w: - ) - W • i_ x cos B.• = Ftz; (P3:XI:-X w:=, )- W:XCOS •= Fri: F F Where to Obtain Information Description Symbol Where to find Design Pressure P1 or P2 or P3 RAS 127 Table 1 or by an engineering analysis prepared by PE baud on ASCE 7 Mean Roof Height 11 Job Site Roof Slope 9 Job Site Aerodynamic Multiplier A ' Product Approval Restoring Moment due to Gravity M, Product Approval Attachment Resistance Mr Product Approval Required Moment Resistance M, Calculated Minimum Attachment Resistance F Product Approval Calculated Required Uplift Resistance F, Average Tile Weight W Product Approval Tile Dimensions 1= length w= width Product Approval All calculations must be submitted to the Building Official at the time of permit application. 44.24 2010 FLORIDA BUILDING CODE - RESIDENTIAL I an BUILDING CODE COMPLIANCE OFFICE (BCCO) PRODUCT CONTROL DIVISION NOTICE OF ACCEPTANCE (NOA) GAF Material Corporation. 1361 Alps Road Wayne, NJ 07470 MIAMI -DADE COUNTY, FLORIDA METRO -DADE FLAGLER BUILDING 140 WEST FLAGLER STREET, SUITE I603 MIAMI, FLORIDA 33130 -1563 (305) 375 -2901 FAX (305) 375 -2908 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed by the BCCO and accepted by the Building Code and Product Review Committee to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code and the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: GAF Conventional Built -Up Roof System for Wood Decks. LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA renews and revises NOA No. 03- 0501.05 and consists of pages 1 throygh 19. The submitted documentation was reviewed by Jorge L. Acebo. • MtAM .DARE C. UNTY APPROVED NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 1 of 19 ROOFING SYSTEM APPROVAL Category: Sub - Category: Deck Tyne: Maximum Design Pressure Roofing BUR Wood -75 psf TRADE NAMES OF PRODUCTS MANUFACTURED OR LABELED BY APPLICANT: TABLE 1 Product Leak BusterTM MatrixTM 307 Premium Asphalt Primer GAF Mineral ShieldTM Granules Leak BusterTM MatrixTM 305 Fibered Asphalt Emulsion Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating LeakBusterTM MatrixTM 322 Elastomeric Roof Coating LeakBusterTM MatrixTM Select Asphalt Emulsion Fibered 306 Leak BusterTM MatrixTM 204 Wet/Dry Roof Cement RUBEROID'a Modified Bitumen Flashing Cement LeakBusterTM MatrixTM 201 Premium SBS Flashing Cement GAFGLAS® #75 Test Dimensions Specification 3, 5, 55 gallons 60 & 100 lb. bags 5 gallons 1, 5 gallons 55 gallons 55 gallons 1, 5 gallons 5 gallons 5 gallons ASTM D41 ASTM D 1863 ASTM 1227 Product Description Asphalt concrete primer used to promote adhesion of asphalt in built -up roofing. Granules for surfacing of exposed asphalt, cold process cement or emulsion. GAF Mineral ShieldTM Granules shall be used for flashing applications only. Surface coating for smooth surfaced roofs. ASTM D 2824 Fibered aluminum coating. Elastomeric roof coating. Asphalt emulsion fibered. ASTM D -4586 Refined asphalt blended with a mineral ASTM D -3409 ASTM D 4586 stabilizer and fibers. Permits adhesion to wet and dry surfaces. Fiber reinforced, polymer modified Flashing cement ASTM D 4586 Asphalt flashing Cement 39.37" (1 meter) ASTM D 4601 Asphalt impregnated and coated glass mat wide base sheet. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 2 of 19 Product GAFGLAS ® #80 ULTIMATM Base Sheet GAFGLAS® Flex PIyTM 6 GAFGLAS® Ply 4 GAFQLAS® Mineral Surfaced Cap Sheet GAFGLAS® EnergyCapTM Mineral Surfaced Cap Sheet GAFGLAS® STRATAVENT® EIiminatorTM Perforated .GAFGLAS Flashing GAFGLAS® STRATAVENT® EliminatorTM Nailable RUBEROID® SBS Heat WeIdTM Smooth RUBEROID ® SBS Heat- We1dTM Granule RUBEROID ® SBS Heat- We1dTM 170 FR RUBEROID® SBS Heat-WeldTM PLUS RUBEROID SBS Heat -Weldor PLUS FR. RUBEROID SBS Heat- We1dTM 25 RUBEROID® Modified Base Sheet MIAMr. A DE CO APPROVED Dimensions 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide Various 39.37" (1 meter) wide 1 meter (39.37 ") wide 1 meter (3937 ") wide 1 meter (39.37") wide 1 meter (3937 ") wide 1 meter (39.37 ") wide 1 meter (3937") wide 39.37" (1 meter) wide Test Specification ASTM D4601 ASTM D 2178 ASTM D 2178 ASTM D 3909 ASTM D 3909 ASTM D 4897 D 3672 ASTM D 4897 D 3672 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D -6164 ASTM D4601, Type u UL Type 02 BUR Product Description Asphalt impregnated and coated, fiberglass base sheet Type VI asphalt impregnated glass felt with asphalt coating. Type IV asphalt impregnated glass felt with asphalt coating. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules. Asphalt coated, glass fiber mat cap sheet surfaced with mineral granules with factory applied layer of TOPCOAT®EnergyCoteTM. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating with factory perforations. Asphalt coated glass fiber mat flashing sheet available in three sizes. Fiberglass base sheet impregnated and coated on both sides with asphalt. Surfaced on the bottom side with mineral granules embedded in asphaltic coating. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -Woven Polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with . polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven Polyester mat coated with polymer - modified asphalt and smooth surfaced. Premium glass fiber reinforced SBS modified base sheet NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 3 of 19 Product RUBERO1D® 20 RUBEROID® Mop Granule RUBEROID® Mop Plus (Granule) RUBEROID® MOP Smooth RUBEROID® MOP . 170FR RUBEROID® MOP FR RUBEROID® TORCH Smooth RUBEROID® TORCH Granule RUBEROID® TORCH PLUS (Granule) RUBEROID® TORCH FR RUBEROID ® 170FR TORCH RUBEROID® 30 RUBEROID® 30 FR RUBEROID® ULTRACLAD® RUBEROID® Dual FR Vent Stacks (metal and plastic) MIAMI ' : OUNTY APPROVED Dimensions 39.37" (1 meter) wide 39.37" (1 inter) wide 39.37" (1 meter) wide 39.37" (l meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (I meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 39.37" (1 meter) wide 3937" (1 meter) Wide 3937" (1 meter) wide 39.37" (1 meter) wide 3937" (1 meter) wide 39.37" (1 meter) Wide Test Specifiication. ASTM D 6163 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 6164 ASTM D 5147 ASTM D 5147 ASTM D 5147 .ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM D 6222 ASTM D 5147 ASTM .D 6163 ASTM D 5147 ASTM D 6163 ASTM D 5147 ASTM D 6298 ASTM D 5147 ASTM D 6164 ASTM D 5147 TAS 100(A) ASTM D 1929 ASTM D 635 Product Description SBS modified asphalt base sheet and interply sheet reinforce with a glass fiber mat. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven polyester mat coated with polymer - modified asphalt and smooth surfaced. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Non -Woven polyester mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, smooth surface. Asphalt impregnated, coated felt, surfaced with mineral granule. Heavy duty, polyester reinforced, asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Heavy duty, polyester reinforced, coated with fire retardant asphalt modified bitumen membrane, granule surface. Non -woven fiberglass mat coated with polymer modified asphalt and surfaced with mineral granules. Non -woven fiberglass mat coated with fire retardant polymer modified asphalt and surfaced with mineral granules. Woven fiberglass mat coated with Polymer modified asphalt and surfaced with aluminum, copper or stainless steel foil. Non -woven polyester and fiberglass mat coated with file retardant, polymer modified asphalt and surfaced with mineral granules. One way valve vent used to relieve built-up pressure within the roof system. GAF Vent Stacks are available in metal or plastic. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 4 of 19 Product Leak BusterTM MatrixTM 302 Non Fibered Aluminum Roof Coating GAF Built -Up Roofmg Asphalt RUBEROID® MOD Asphalt, Asphalt L & Asphalt P Leak BusterTM MatrixTM 602 • Leak BusterTM MatrixTM 715 LeakBusterTM MatrixTM 531 WeatherCoteTM SeamCoteTM FireOutTM VersaShield° VersaShieId® FB-1S VersaShield° FB -2S TOPCOAT® Fire Shield® MB Leak BusterTM MatrixTM 201 SBS Flashing Cement Leak BusterTM MatrixTM 102 SBS Adhesive Leak BusterTM MatrixTm 202 SBS Flashing Cement Leak BusterTM MatrixTM 203 Plastic Roof Cement Leak BusterTM MatrixTM 103 Cold Process Adhesive MIAMIDADE • UN APPROVED Dimensions 5 gallons 1001b. cartons, bulk 60 Ib. kegs 5 gallons 5 gallons 2 gallons 2, 5 gallons 5, 55 gallons 350 sq ft. roll 350 sq ft. roll 350 sq ft. roll 5, 55 gallons 5 gallons 5 gallons 5 gallons 5 gallons 5 gallons Test $neeifieation Product pescrintion ASTM D2824, Non - fibered aluminum pigmented, asphalt Type I roof coating. ASTM D312, Types I, II, III and IV proprietary ASTM D -412 ASTM D -21 -96 ASTM D1475 ASTM E-1644 ASTM D3019 ASTM D3019 ASTM D4586 ASTM D4586 ASTM D3019 Interply mopping and surfacing asphalt. SEBS modified asphalt. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Surface coating for smooth surfaced and mineral surfaced roofs. Elastomeric roofing membrane. Low VOC, fire barrier coating. Non - Asphaltic Fiberglass -Based Underlayment. Non - Asphaltic Fiberglass -Based Underlayment. Non - Asphaltic Fiberglass -Based Underlayment. Elastomeric roofmg membrane Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Cold Applied Modified SEBS Asphalt Adhesive. Cold Applied Modified SEBS Asphalt Adhesive — Flashing Grade. Standard Plastic Asphalt Roofmg Cement Cold Applied Asphalt Adhesive. NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 5 of 19 Product Leak BusterTM MatrixTM 303 Fibered Aluminum Roof Coating Leak BusterTM MalrixTM 304 Non Fibered Aluminum Roof Coating Test Dimensions Specification 5 gallons ASTM D 2824 5 gallons APPROVED INSULATIONS: Product Name EnergyGuardTM RA, RN Composite A & N EnergyGuardTM Fiberboard EnergyGuardTM Permalite EnergyGuardTM GAFCANTTM EnergyGuardTM Permalite Recover Board EnergyGuardTM Tapered Edge Strip EnergyGuardTM Perlite EnergyGuardTM High Density Fiberboard EnergyGuardTM Composite EnergyGuardTM Composite RA Wood Fiber High Density Wood Fiberboard Perlite Insulation Dens Deck, Dens Deck® Prime, Dens Deck® Dura GuardTM Structodek SecurockTM COUNTY APPROVED Product Description Fibered aluminum coating. ASTM D2824, Non - Fbered aluminum pigmented, asphalt Type 1 roofcoating. Table 2 Product Description: Polyisocyanurate foam insulation Polyisocyanurate foam insulation with high density fiberboard or Permalite perlite insulation. Fiberboard insulation. Perlite insulation board. Cut perlite board Perlite recover board Tapered perlite board Perlite insulation board High density wood fiberboard insulation. Polyisocyanurate /wood fiberboard composite Polyisocyanurate /wood fiberboard composite Wood fiber insulation board Wood fiber insulation board Perlite insulation board Water resistant gypsum board Wood fiber insulation board Fiber reinforced roof board Manufacturer (With Current NOA) BMCA ' GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. GAF Materials Corp. BMCA BMCA generic generic generic G -P Gypsum Corp Knight Celotex USG Corporation NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 6 of 19 APPROVED FASTENERS: Fastener Number Product Name 1. Drill -TecTM #12 Standard, #14 and #15 extra Heavy Duty Fastener , Heavy Duty Roofing Fastener 2. Drill -TecTM ASAP 3. Drill -TecTM #12 or #14 Standard screws with AccuTrac Plate 4. Drill -TecTM Galvalume Plates 5. Drill -TecTM Polypropylene Plates 6. Drill -TecTM AccuTrac Plate EVIDENCE SUBMITTED: Test Aaencv, Factory Mutual Research Corp. PRI Asphalt Technologies, Inc. MT of S. F1. TABLE 3 Product Description Insulation fastener and Base Play fastener for steel, wood & concrete decks. Pre - assembled Drill - TecTM Fasteners and metal and plastic plates. Base sheet fastening assembly. Round Galvalume stress plates. Round polypropylene stress plates. Square Galvalume® coated steel plate. Test Identifier J.I. 2B8A4.AM J.I. 3B9Q1.AM J.I.ODOA8.AM J.I.ODIA8.AM J.I.0Y9Q5.AM 3029832 GAF - 012 -02.02 GAF- 020 -02 -01 02 -005 02 -014 Manufacturer Dimensions (With Current NOA) Various GAF Materials Corp. Various GAF Materials Corp. Various GAF Materials Corp. 3" and 3 ' /z" GAF Materials Corp. 3" and 3 %" GAF Materials Corp. 3" Square GAF Materials Corp. Description 4470 4470 4470 4470 - TAS 114 4470 -TAS 114 4470 - TAS 114 Physical Properties ASTM D 4977 TAS 114 TAS 114 Date 07.02.97 01.08.98 07.09.99 07.29.94 04.01.98 05.11.07 11.06.01 02.01.02 01.18.02 03.22.02 NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 7 of 19 Deck Type 1: Wood, Non - insulated Deck Description: 19/32" or greater plywood or wood plank decks System Type E: Base sheet mechanically fastened. M1 General and System Limitations shall apply. Fire Barrier: (optional) Base sheet FireOutTM Fire Barrier Coating, VersaShield ®Non- Asphaltic Fiberglass -Based Underlayment or SecurockTM. GAFGLAS® #80 ULTJMATM Base Sheet, STRATAVENT@ EliminatorTM Nailable, RUBEROID® Modified Base Sheet, RUBEROID® 20, RUBEROID® Heat- We1dTM Smooth or RUBEROID® Heat- WeIdTM 25 base sheet mechanically fastened to deck as described below; Fastening Options:. GAFGLAS® Ply 4, GAFGLAS® Flex P1yTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with approved annular ring.shank nails and tin caps at a fastener spacing of 9" o.c. at the lap staggered and in two rows 12" o.c. in the field. (Maximum Design Pressure —45 psf, See General Limitation #7) GAFGLAS® Ply 4, GAFGLAS ®-Flex PIyTM 6, GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 3 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 12" o.c. in the field of the sheet. (Maximum Design Pressure —45 psf, See General Limitation #7) GAFGLAS® Flex Ply 'M 6,(GAFGLAS® #755Base Sheet or any of above Base sheets attached to deck with approved annular ring shank nails and tin caps at a fastener spacing of 9" o.c. at the 4" lap staggered and in two rows 9" o.c. in the field. (Maximum Design Pressure 52.5 psf, See General Limitation #7) GAFGLAS® #80ULT1MATM, RUBEROID®20, RUBEROID® Mop Smooth, base sheet attached to deck with approved PA" annular ring shank nails and inverted 3" steel plate at a fastener spacing of 9" o.c. at the 4" lap and in two rows staggered with a fastener spacing of 9" o.c. in the center of the membrane. (Maximum Design Pressure --60 psf, See General Limitation #7) GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill -TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 12" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —60 psi; See General Limitation #7) Any of above Base sheets attached to deck approved annular ring shank nails and:3" inverted Drill -TecTM insulation plates at a fastener spacing of 9" o.c. at the 4" lap staggered in two rows 9" in the field. (Maximum Design Pressure —60 psf, See General Limitation #7) NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 17 of 19 Ply Sheet: Cap Sheet: Surfacing: GAFGLAS® #75 Base Sheet or any of above Base sheets attached to deck with Drill-TecTM #12 standard, #14 or # 15 Screws and 3" Drill -TecTM steel plate or Drill -TecTM AccuTrac Plates, 8" o.c. in 4 rows. One row is in the 2" side lap. The other rows are equally spaced approximately 9" o.c. in the field of the sheet. (Maximum Design Pressure —75 psf, See General Limitation #7) One or more plies of GAFGLAS ®PLY 4. #80 ULTIMA, RUBEROID® MOP Smooth or RUBEROID 20 adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq. (Optional) One ply of GAFGLAS Mineral Surfaced Cap Sheet or GAFGLAS ®EnergyCaptm Mineral Surfaced Cap Sheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. (Optional, required if RUBEROID® MOP Smooth or RUBEROID ® 20 is top membrane) Install one of the following: 1. Gravel or slag applied at 400 lbs./sq. and 300 lbs./sq. respectively in a flood coat of approved asphalt at 60 lbs. /sq. or applied in a flood coat of Leak BusterTM MatrixTM 103 Cold Process Adhesive applied at a rate of 3 gal./sq. 2. GAFGLAS5' Mineral Surfaced Cap Sheet, GAFGLAS® Energy Cap Mineral Surfaced Capsheet adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20 -40 lbs. /sq. 3. Leak BusterTM MatrixTM 303 Premium Fibered Aluminum Roof Coating, at 1.5 gal.sq. 4. Leak BusterTM MatrixTM 715 , Leak BusterTM MatrixTM 322, TOPCOAT® MB +, TOPCOAT® Fireshield Elastomeric Roofing Membrane, applied at 1 to 1.5 gal. /sq. 5. Leak BusterTM MatrixTM 602 MB Xtra EIastomeric Roofing Membrane, EnergyCoteo roof coating applied at 1 to 1.5 gal. /sq. 6. TOPCOAT® Surface Seal, TOPCOAT® Fireshield® SB Solvent based Elastomeric Roofing Membrane applied at lto 1.5 galisq 7. Advance Green Technologies Photovoltaic Laminate solar energy collector auxiliary roof equipment installed in compliance with manufacturer's specifications and applicable Building Codes. Maximum Design Pressure: See Fastening Above NOA No.: 07- 1219.09 Expiration Date: 11/04113 Approval Date: 03/20/08 Page 18 of 19 WOOD DECK SYSTEM LIMITATIONS: 1 A slip sheet is required with PIy 4 and Flex PIyTM 6 when used as a mechanically fastened base or anchor sheet. 2. Minimum ' /a" Dens DeckTM or 'la" Type X gypsum board is acceptable to be installed directly over the wood deck. GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance, refer to a current Approved Roofing Materials Directory for fire ratings of this product. 2. Insulation may be installed in multiple layers. The first layer shall be attached in compliance with Product Control Approval guidelines. All other layers shall be adhered in a full mopping of approved asphalt applied within the EVT range and at a rate of 20-40 lbs./sq., or mechanically attached using the fastening pattern of the top layer 3. All standard panel sizes are acceptable for mechanical attachment. When applied in approved asphalt, panel size shall be 4' x 4' maximum. 4. An overlay and/or recovery board insulation panel is required on all applications over closed cell foam insulations when the base sheet is fully mopped. If no recovery board is used the base sheet shall be applied using spot mopping with approved asphalt, 12" diameter circles, 24" o.c.; or strip mopped 8" ribbons in three rows, one at each sidelap and one down the center of the sheet allowing a continuous area of ventilation. Encircling of the strips is not acceptable. A 6" break shall be placed every 12' in each ribbon to allow cross ventilation. Asphalt application of either system shall be at a minimum rate of 12lbs. /sq. Note: Spot attached systems shall be limited to a maximum design pressure of -45 psf. 5. Fastener spacing for insulation attachment is based on a Minimum Characteristic Force (F') value of 275 lbf., as tested in compliance with Testing Application Standard TAS 105, If the fastener value, as field - tested, are below 275 lbf. insulation attachment shall not be acceptable. 6. Fastener spacing for mechanical attachment of anchor /base sheet or membrane attachment is based on a minimum fastener resistance value in conjunction with the maximum design value listed within a specific system. Should the fastener resistance be less than that required, as determined by the Building Official, a revised fastener spacing, prepared, signed and sealed by a Florida Registered Engineer, Architect, or Registered Roof Consultant may be submitted. Said revised fastener spacing shall utilize the withdrawal resistance value taken from Testing Application Standards TAS 105 and calculations in compliance with Roofing Application Standard RAS 117. 7. Perimeter and corner areas shall comply with the enhanced uplift pressure requirements of these areas. Fastener densities shall be increased for both insulation and base sheet as calculated in compliance with Roofing Application Standard RAS 117. Calculations prepared, signed and sealed by a Florida registered Professional Engineer, Registered Architect, or Registered Roof Consultant (When this limitation is specifically referred within this NOA, General Limitation #9 will not be applicable.) 8. All attachment and sizing of perimeter nailers, metal profile, and /or flashing termination designs shall conform with Roofing Application Standard RAS 111 and applicable wind load requirements. 9. The maximum designed pressure limitation listed shall be applicable to all roof pressure zones (Le. field, perimeters, and corners). Neither . rational analysis, nor extrapolation shall be permitted for enhanced fastening at enhanced pressure zones (i.e. perimeters, extended corners and corners). (When this limitation is specifically referred within this NOA, General Limitation #7 will not be applicable.) 10.. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. END OF THIS ACCEPTANCE NOA No.: 07- 1219.09 Expiration Date: 11/04/13 Approval Date: 03/20/08 Page 19 of 19 214 2009 ROOFING MATERIALS AND SYSTEMS DIRECTORY ROOF - COVERING MATERIALS (TEVT) Roofing Systems (TGFU) — Continued Foam: Spray application of 2 -in. thick "Polyfoam 273" (2.7 lb/ft.3 ) Surfacing: Spray application of 28 to 34 -mils "U -8730" (aluminum) 47 Deck: NC Incline: 1/2 Insulation: Spray application of 2 -in. thick "Polyfoam 273" (2.71b/ft.3 Surfacing Spray application of 28 to 34 -mils "U -8782" (ivory) 48. Deck: NC Incline: 11/2 Insulation: Spray application of 2 -in. thick "Polyfoam 273 ". Base Coat: "A3100R Acrylic Top Coat" or "A3111R Acrylic Base Coat" applied at 1.13 -gal /100 -fL Intermediate Coat "A3100R Acrylic Top Coat" or "A3111R Acrylic Base Coat" applied at 1.13 -gal /100 -ft.°- Top Coat: "A3100R Acrylic Top Coat" applied at 1,13 -gal /100 -ft 2 Surfacing (optional): Broadcast application of No. 11 ceramic coated granules applied at a rate of 30 to 50 -tbs /100 -ft? 49. Deck: NC Incline: 3/4 Base Foam (Optional): "PolyFoam 193," any thickness. Surface Foam: "Polyfoam 273," 1 inch minimum Base Coat: "Cacoflex A -3200R Series" applied at 1.5 gal /100 -ft2 Top Coat: "Gacoflex A -32008 Series" applied at 1.5 gal /100 -ft2 Surfacing (optional): Broadcast application of No. 11 ceramic coated granules applied at a rate of 30 to 50-lbs /100 -ft.2 50. Deck: NC Incline: IM Insulation: "Polyfoam 273," any thickness. Base Coat "GacoSil S-2000 Series," applied at M -gal /100 -ft2 Top Coat "GacoSil 5-2000 Series," applied at 3/a -gal /100 -ft2 Surfacing (optional): Broadcast application of No. 11 ceramic coated granules applied at a rate of 30-lbs /100 -ft2. GAF MATERIALS CORP R1306 1361 ALPS RD, WAYNE NJ 07470 "Ruberoid 20" or "Ruberoid Modified Base Sheet" may be utilized as an alternate to Type G2 base sheets in any of the following Classifications. 2-in. thick (minimum) gypsum board or '/ -in. thick (min) G -P Gyyppsum Corp. "DensDeck ® Roofboard," "DensDeck Prime® Roofboard" or "Dens - Deck DuraGuard TM Roofboard" may be used in any existing noncombustible deck Classification. When this is done, the resulting roofing system is acceptable for use over combustible (15/32 -in. minimum) roof decks. How- ever, the butt joints in the gypsum board and G-P Gypsum Corp. DensDeck OO Roofboard, " DensDeck Prim C Roofboard" or "DensDeck DuraGuard TM Roofboard" are to offset a minimum of 6-in. with the butt joints in the roof deck. If polystyrene is part of the roof system, it must be placed below the overlayment board. Multiple plies of "GAFGLAS Ply 4" or "Tri-Ply PIy 4 ", or "Ply 6" may be adhered to G -P Gypsum Corp. "DensDeck ® Roofboard," "DensDeck Prime® Roofboard" or "DensDeck DuraGuard TM Roofboard" in hot roofing asphalt. "EnergyGuard Ultra" is an acceptable alternate to "EnergyGuare in any applicable Classification. GAF Stratavent Eliminator Venting Base Sheet ( Nailable)" may be mechani- cally attached or hot mopped over noncombustible decks and as a recover over existing roof systems. GAFGLAS Perlite Insulation may be utilized as a cover board over "EVER - GUARD" insulation in any of the following systems. Unless otherwise indicated, the roof insulation is mechanically fastened, adhered with hot mopping asphalt or urethane insulation adhesive. Polysty- rene reference in any of the following Classfications include "ENERGuard EPS Insulation ". References to glass fiber insulation include "EnergyGuard Fiberglass Insu- lation", ASPHALT FELT SYSTEMS WITH HOT ROOFING ASPHALT Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "Tri -Ply #75 Base Sheet ", or "GAFGLAS #80 ULTIMA" ) is a suitable alternate for Type G1 asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "Tri-Ply Ply 4 ", or "GAFGLAS Ply 6" ) in the Class A, B or C roof systems indicated below. The roof deck may first be covered with a Type G2 asphalt glass mat base sheet "GAF Stratavent Eliminator Venting Base Sheet (Perforated)" or "GAF Stratavent Eliminator Venting Base Sheet ( Nailable)." Perforated to be loose laid or mopped and nailable to be mechanically attached granule side down. As an option Type G2 asphalt glass mat base sheet ( "GAFGLAS #75 Base Sheet" or "Tri -Ply #75 Base Sheet" or "GAFGLAS #80 ULTIMA" or "GAF Stratavent Eliminator Venting Base Sheet (Nailable)" may be substituted for Type GI asphalt glass fiber ply sheet ( "GAFGLAS Ply 4" or "Tri-Ply Ply 4" or " GAFGLAS Ply 6 ") as the nailed base ply in the following systems. Bottom ply or base sheet may be solid mopped, spot mopped or mechani- cally fastened. Unless otherwise indicated, all insulations may be hot mopped or mechani- cally fastened. "GAFGLAS Flashing" or "Ruberoid" may be used for flashing in any of the Class A, B or C systems listed below. ROOF - COVERING MATERIALS (TEVT) Roofing Systems (TGFU)— Continued When "perlite" is referenced, this includes "GAFTEMP PERMALITE®" or any other UL Classified perlite insulation. Crushed stone or slag are suitable alternates for gravel in any of the Class A, B or C systems listed. Structural cement fiber building units are considered suitable to be included as a deck in the following Class A, B or C systems listed over C -15/32 or NC. The use of gypsum board under any of the following Class A, B or C systems does not adversely effect the rating. The use of 1/2-in. minimum gypsum board is an acceptable alternate for insulation over C -15/32 decks. The use of polystyrene insulation board between minimum 3/ -in. thick perlite board and deck with rosin paper (perlite /rosin paper /polystyrene/ perlite) is a suitable alternate for polyisocyanurate board in the following Class A, B or C systems. " EnergyGuard RA" or "Tapered EnergyGuard RA" or " EnergyGuard Com posite "may be substituted for any Atlas polyisocyanurate insulation in any of the following Classifications. Trumbull "Perma Mop" may be utilized with any of the following "Asphalt Felt Systems with Hot Roofing Asphalt". GAFGLAS #80 Premium Base Sheet may be used in any of the following systems. " GAFGLAS Flex Ply 6" and "Tri -Ply Ultra - Flexible Ply 6" are suitable alternates to "GAFGLAS Ply 6 ". "GAFTEMP Permalite Recover Board" may be used in lieu of any perlite insulation in any of the following NC Classifications. Unless otherwise indicated, any of the "Asphalt Felt Systems with Hot Roofing Asphalt" may be surfaced with "Fireshield MB" at 2'h to 3- gal /100-fl2. Class A, B and C Hot roofing asphalt, for use with organic and glass felts or modified bitumen membranes. ` Ruberoid Heat Weld" SBS roofing membrane may be used in lieu of "Rubemid Mop" SBS products in any applicable Classification. Class A 1. Deck: C -15/32 Incline: 3 Insulation (Optional): One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite / polyisocyanurate cony posite or perlite /urethane composite or wood fiber / polyisocyanurate composite or phenolic, any thickness. Ply Sheet Three or more plies Type G1 or "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6" hot mopped. Surfacing: Gravel. e C -15/32 Incline: 2 Insulation (Optional): One or more layers perlite or wood fiber or glass fiber or polyisocyanurate or urethane or perlite / polyisocyanurate cart posite or perlite /urethane composite or wood fiber / polyisocyanurate. composite or phenolic, any thickness. Ply Sheet Three or more plies Type G1 or "GAFGLAS Ply 4" or "Tri -Ply Ply 4" or "GAFGLAS Ply 6 ". Cap Sheet One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet° "T ' A _ Mineral Surfaced Cap Sheet'. 3. Deck: NC Incline: 2 Insulation (Optional): One or more layers perlite, wood fiber, glass fiber, polyisocyanurate, urethane, perlite / polyisocyanurate composite perlite /urethane composite, wood fiber /polyisocyanurate composite, phenolic, 2 -in. maximum. Ply Sheet Two or more plies Type G1 "GAFGLAS Ply 4" or "Tri-Ply Ply 4 ", " GAFGLAS Ply 6 ". Cap Sheet One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet" or "Tli -Ply Mineral Surfaced Cap Sheet ". 4. Deck: NC Incline: 1/2 Insulation: One or two layers "Isotherm R ", any thickness, fret' mopped. Ply Sheet Any UL Classified gravel surfaced Class A asphalt glass filer mat system. 5. Deck: C -15/32 Incline: 1 Slip Sheet (Optional): Red rosin paper, nailed to deck. Base Sheet One ply Type G2 "GAFGLAS #75 Base Sheet" or "Tri -PIy #75 Base Sheet" (may be nailed). Ply Sheet One or more plies Type G1 "GAFGLAS Ply 4" or "Tri-Ply Ply 4" or GAFGLAS Ply 6 ". Cap Sheet One ply Type G3 "GAFGLAS Mineral Surfaced Cap Sheet° or "Tli -Ply Mineral Surfaced Cap Sheet". 6. Deck: NC Incline: 3 Base Sheet One ply Type G2 "GAFGLAS #75 Base Sheet" or "Tri -Ply'' #75 Base Sheet ". Ply Sheet One or more plies Type G1 "GAFGLAS Ply 4" or "Tri-Ply Ply 4" or "GAFGLAS Ply 6 ". LOOK FOR THE UL MARK ON PRODUCT MIAMI. BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI-DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov/bnildins/ Polyglass USA Inc. 150 Lyon Drive Fernley, NV 89408 SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polyglass Polystick Underlayments LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews and revises NOA # 09- 0806.07 and consists of pages 1 through 8. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 1 of 8 ROOFING COMPONENT APPROVAL Category: Sub - Category: Material: Roofing Underlayment SBS , APP Self- Adhering Modified Bitumen PRODUCTS DESCRIPTION: Product Polystick MTS underlayment Manufacturing Location #2 Polystick IR -Xe underlayment Manufacturing Location #1 & #2 Polystick TU underlayment Manufacturing Location #1 & #2 Polystick TU Plus underlayment (Facer of Membrane with surface printing) Manufacturing Location #1 & #2 Polystick TU P underlayment Manufacturing Location #2 Polystick Tile Pro Manufacturing Location #2 Dimensions Roll: 65'8" x 3'33/8" 60 mils thick Roll: 65' x 3'33/8" Or 65' x 3' 80 mils thick Roll: 32'10" x 3'33/8" 100 mils thick Roll: 65' x 3'33/8" 80 mils thick Roll: 32'10" x 3'33/8" 130 mils thick Roll: 61' x 3'33/8" 60 mils thick Test Specification TAS 103 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 TAS 103 and ASTM D 1970 Product Description A homogeneous, rubberized asphalt waterproofing membrane, glass fiber reinforced with polyolefinic film on the upper surface for use as an underlayment for metal roofing, roof tile, slate tiles and shingle underlayment. A fine granular /sand top surface self - adhering, APP polymer modified, fiberglass reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as an ice & rain shield and as a flat roof tile underlayment. A heavy granuled surface self adhering, APP polymer modified, fiberglass or polyester reinforced, bituminous sheet material for use as an underlayment in sloped roof assemblies. Designed as a a roof tile underlayment. A non - wicking fabric surfaced, self - adhering, APP polymer modified, fiberglass reinforced with a high strength polyester fabric, bituminous sheet material for use an an underlayment in sloped roof assemblies. Designed as a metal roofing and roof tile underlayment. A rubberized asphalt waterproofmg membrane, glass- fiber /polyester reinforced, with a granular surface designed for use as a tile roof underlayment. A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane. Designed as a metal roofing and roof tile underlayment. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 2 of 8 , PRODUCTS DESCRIPTION: Product Polystick Dual Pro Manufacturing Location #2 Dimensions Roll: 61' x 3'3-3/8" 60 mils thick MANUFACTURING PLANTS: 1. Hazelton, PA 2. Winter Haven, FL EVIDENCE SUBMI1 "1ED: Test Agency Exterior Research & Design, LLC Trinity I ERD PRI Asphalt Technologies Momentum Technologies, Inc. Test Specification ASTM D 1970 Test Identifier 11756.04.01 -1 11756.08.01 -1 02202.08.05 P5110.08.07 P10870.09.08 -R1 P10870.04.09 P33360.06.10 P33370.03.11 P36900.09.11 PRI01111 PUSA- 005 -02 -01 PUSA- 018 -02 -01 PUSA- 035 -02 -01 PUSA- 033 -02 -01 PUSA- 055 -02 -02 PUSA- 083 -02 -01 PUSA- 089 -02 -01 JX20H7A RX14E8A DX23D8B DX23D8A Product Description A rubberized asphalt self - adhering, glass - fiber /polyester reinforced waterproofing membrane, specific for use as a high temperature underlayment. Designed as a metal roofmg. Test Name/Report TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 ASTM D1970 TAS 103 TAS 103 /ASTM D4798 & G155 ASTM D 4977 ASTM D 4977 ASTM D 2523 TAS 103 ASTM D 1970 TAS 103 TAS 103 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 TAS 103 /ASTM D4798 & G155 Date 04/27/01 08/14/01 08/29/05 08/29/07 12/04/08 04/13/09 07/01/10 03/02/11 09/01/11 04/08/02 01/31/02 07/14/03 09/29/06 01/12/06 12/10/07 06/30/08 07/06/09 04/01/08 11/09/09 02/18/10 02/18/10 NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 3 of 8 INSTALLATION PROCEDURES: Deck Type 1: Wood, non - insulated Base Sheet: One or more plies of ASTM D 226 Type II or ASTM D 2626. Fastening: Per FBC 1518.2 & 1518.4 Nails and tin caps 12" grid, 6" o.c. at a minimum 4" head lap. (for base sheet only) Membrane: Polystick membranes self - adhered. Surfacing: None 1. All nails in the deck shall be carefully checked for protruding heads. Re- fasten any loose decking panels, and sweep the deck thoroughly to remove any dust and debris prior to application. 2. Place the underlayment over metal drip edge in accordance with RAS 111. 3. Place the first course of membrane parallel to the eave, rolling the membrane to obtain maximum contact. Remove the release film as the membrane is applied. . All side laps shall be a minimum of 3-V2" and end laps shall be a minimum of 6." Roll the membrane into place after removing the release strip. Vertical strapping of the roof with Polystick is acceptable. Membrane shall be back nailed in accordance with applicable building code. 4. When applying the membrane in the valley, start at the low point and work to the high point, rolling the membrane from the center outward in both directions. 5. For ridge applications, center the membrane and roll from the center outward in both directions. 6. Roll or broom the entire membrane surface so as to have full contact with the surface, giving special attention to lap areas. 7. Flash vent pipes, stacks, chimneys and penetrations in compliance with Roof Assembly current Product Control Notice of Acceptance. 8. All protrusions or drains shall be initially taped with a 6" piece of underlayment. The flashing tape shall be pressed in place and formed around the protrusion to ensure a tight fit. A second layer of Polystick shall be applied over the underlayment. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 4 of 8 GENERAL LIMITATIONS: 1. Fire classification is not part of this acceptance. 2. Polystick MTS, TU Plus, and Tile Pro may be used in asphaltic shingles, wood shakes and shingles, non- structural metal roofing, roof tile systems and quarry slate roof assemblies. IR-Xe, TU, and TU P may be used in all the previous assemblies listed except metal roofing. Dual Pro may be used in all the previous assemblies listed except roof tile systems. 3. Deck requirements shall be in compliance with applicable building code. 4. Polyglass Polystick membranes shall be applied to a smooth, clean and dry surface. The deck shall be free of irregularities. 5. Polyglass Polystick membranes and underlayments shall not be adhered directly over a pre - existing roof membrane as a recover system. 6. Polyglass Polystick membranes shall not be left exposed as a temporary roof for longer than the amount of days listed in the table below after application. Polyglass reserves the right to revise or alter product exposure times; not to exceed the preceeding maximum time limitations. Exposure Limitations (days) Polystick MTS MTS IR -Xe TU TU Plus TU P Tile Pro Dual Pro Winter Haven, FL. 180 180 180 180 180 180 180 Hazelton, PA. N/A 30 30 180 N/A N/A N/A 7. All products listed herein shall have a quality assurance audit in accordance with the Florida Building Code and Rule 9B -72 of the Florida Administrative Code. 8. In roof tile application, data for the attachment resistance of roof tiles shall be as set forth in the roof tile manufacturer's Notice of Acceptance. Polystick TU and TU Plus may be used in both adhesive set and mechanically fastened roof tile applications. Polystick IR -Xe, and Tile Pro are limited to mechanically fastened roof tile applications. Polystick MTS is limited to mechanically fastened with battens roof tile applications. Polystick TU P may be used in both adhesive set and mechanically fastened roof tile applications with the exception of mortar set tile applications. 9. The maximum roof slope for use as roof tile underlayment for (direct -to -deck) tile assemblies shall be as follows: (See Table Below) Tile Profile Polystick MTS Polystick IR -Xe Polystick TU, TU Phis, TU P, Tile Pro Flat Tile Prohibited without battens 5:12 No limitation Profiled Tile Prohibited without battens Prohibited No limitation The above slope limitations can be exceeded only by using battens and counter battens in accordance with the Approved Tile System Notice of Acceptance and applicable Florida Building Code requirements. Battens are required for both loading and installation of tiles at all times. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 5 of 8 GENERAL LIMITATIONS: (CONTINUED) 10. Care should be taken during the loading procedure to keep foot traffic to a minimum and to avoid dropping of tile directly on the underlayment. Refer to Polyglass' Tile loading detail below for loading procedure for all underlayments except Polystick MTS which shall be loaded onto battens. 11. Refer to prepared roofing system Product Control Notice of Acceptance for listed approval of this product with specific prepared roofing products. Polystick MTS, IR-Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro may be used with any approved roof covering Notice of Acceptance listing Polystick MTS, IR-Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro as a component part of an assembly in the Notice of Acceptance. If Polystick MTS, IR -Xe, TU, TU Plus, TU P, Dual Pro and Tile Pro is not listed, a request may be made to the Authority Having Jurisdiction (AHJ) or the Miami -Dade County Product Control Department for approval provided that appropriate documentation is provided to detail compatibility of the products, wind uplift resistance, and fire testing results. LABELING: 1. All membranes or packaging shall bear the imprint or identifiable marking of the manufacturer's name or logo, city and state of manufacturing facility and the following statement: "Miami -Dade County Product Control Approved" or the Miami -Dade County Product Control Seal as shown below. MIAMI.DADE COUNTY BUILDING PERMIT REQUIREMENTS: Application for building permit shall be accompanied by copies of the following: 1. This Notice of Acceptance. 2. Any other documents required by the Building Official or applicable building code in order to properly evaluate the installation of this materials. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 6 of 8 POLYGLASS GENERAL APPLICATION GUIDELINES FOR POLYSTICK MEMBRANES: 1. Polyglass does accept the direct application of Polystick underlayment membranes to wood decks. Installers are cautioned to refer to applicable local building codes prior to direct deck installation to ensure this is acceptable. Please also refer to applicable Product Data Sheets of the corresponding products. 2. All rolls, with the exception of Polystick TU Plus should Ile back - nailed in selvage edge seam as per Polyglass Back Nailing Guide. Nails shall be, 11 gauge ring shank type, applied with a minimum 1" metal disk as required in Dade County or simplex type nail as otherwise allowable in other regions, at a minimum rate of 12" o.c. Polystick TU Plus should be back nailed in designated area marked "nail area, area para clavar" on the face of membrane, with the above stated nails and/or disks. The head lap membrane is to cover the area being back - nailed. (Please refer to applicable local building codes prior to installation.) 3. All seal lap seams (selvage laps) must be rolled with a hand roller to ensure full contact. 4. All fabric over fabric; and granule over granule end laps, shall have a 6" wide, uniform layer of Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic, applied in between the application of the lap. The use of mastic between the laps does not apply to Polystick MTS. 5. A maximum of 6 tiles per stack are allowed when loading tile on the underlayments. Refer to the Polyglass Tile Loading Guidelines. See General Limitations #9 and #10. 6. Battens and/or Counter- battens, as required by the tile manufacturers NOA's, must be used on all projects for pitch/slopes of 7 "/12" or greater. It is suggested that on pitch/slopes in excess of 6 1/4 "/12 ", precautions should be taken, such as the use of battens to prevent tile sliding during the loading process. 7. Minimum cure time after membrane installation & before loading of roofing tiles is Forty-Eight (48) Hours. 8. Polystick membranes may not be used in any exposed application such as crickets, exposed valleys, or exposed roof to wall details. 9. Repair of Polystick membranes is to be accomplished by applying Polyglass Polyplus 55 Premium Modified Flashing Cement, Polyglass Polyplus 50 Premium MB Flashing Cement, Polyglass PG500 MB Flashing Cement, Mule -Hide 241 Premium Modified Flashing Cement, Mule -Hide 251 Premium Wet/Dry Elastomeric Flashing Cement, or Mule -Hide 421 Mod Bit Flashing Adhesive Trowel Grade mastic to the area in need of repair, followed by a patch of the Polystick material of like kind should be set and hand rolled in place over the area needing such repair. Patching membrane shall be a minimum of 6 inches in either direction. The repair should be installed in such a way so that water will run parallel to or over the top of all laps of the patch. 10. All self - adhered membranes must be rolled to ensure full contact with approved substrates. Polyglass requires a minimum of 40 lbs for a weighted roller for the rolling of the field membrane. Hand rollers are acceptable for rolling of patches or small areas of the roof. Brooming may be used where slope prohibits rolling. 11. All approved substrates should be dry, clean and properly prepared, before any application of Polystick membranes commences. An approved substrate technical bulletin can be furnished upon request. It is recommended to refer to applicable building codes prior to installation to verify acceptable substrates. 12. The Polyglass Miami -Dade Notice of Acceptance (NOA) approval for Polystick membranes and PolyProtector UDL can be furnished upon request by our Technical Services Department by calling 1 (800) 894 -4563. NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 7 of 8 13. Questions in regards to the application of Polyglass product should be directed to our Technical Services Department at 1 (800) 894 -4563. 14. Polyglass recommends that applicators follow good roofing practices and applicable procedures as outlined by the National Roofing Contractors Association (NRCA). PLEASE CHECK WITH LOCAL BUILDING CODES REGARDING LIMITATIONS OF SPECIFIC APPLICATIONS. LOCAL CODES MAY SUPERSEDE POLYGLASS REQUIREMENTS AND RECOMMENDATIONS. END OF THIS ACCEPTANCE NOA No.: 11- 0601.10 Expiration Date: 09/13/16 Approval Date: 09/15/11 Page 8 of 8 MIAMI•I7iADE COUNTY BUILDING AND NEIGHBORHOOD COMPLIANCE DEPARTMENT (BNC) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) Polyfoam Products, Inc. 11715 Boudreaux Road Tomball, TX 77375 MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.aov /buildine/ SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County BNC - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. BNC reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Polypro A11160 LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This renews NOA# 06- 0201.02 and consists of pages 1 through 7. The submitted documentation was reviewed by Alex Tigera. MIAMDADE COUNTY APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 1 of 7 ROOFING COMPONENT APPROVAL: Category: Roofing Sub Category: Roof tile adhesive Materials: Polyurethane SCOPE: This approves Polypro® AH160 as manufactured by Polyfoam Products, Inc. as described in Section 2 of this Notice of Acceptance. For the locations where the design pressure requirements, as determined by applicable building code, does not exceed the design pressure values obtained by calculations in compliance with Roofing Application Standard RAS 127, for use with approved flat, low, and high profile roof tiles system using Polypro® AH 160. Where the attachment calculations are done as a moment based system for single patty placement, and as an uplift based system for double patty systems PRODUCTS MANUFACTURED BY APPLICANT: Product Polypro AH160 Dimensions Test Specifications N/A TAS 101 Foampro RTF1000 N/A ProPack® 30 & 100 N/A Product Description Two component polyurethane foam adhesive Dispensing Equipment Dispensing Equipment PRODUCTS MANUFACTURED BY OTHERS: Any Miami -Dade County Product Control Accepted Roof Tile Assembly having a current NOA which list moment resistance values with the use of Polypro AH160 roof tile adhesive. PHYSICAL PROPERTIES: Property Density Compressive Strength Tensile Strength Water Absorption Moisture Vapor Transmission Dimensional Stability Closed Cell Content Test ASTM D 1622 ASTM D 1621 ASTM D 1623 ASTM D 2127 ASTM E 96 ASTM D 2126 ASTM D 2856 Results 1.6 lbs. /ft 3 18 PSI Parallel to rise 12 PSI Perpendicular to rise 28 PSI Parallel to rise 0.08 LbsJFt2 3.1 Perm / Inch +0.07% Volume Change ® -40° F., 2 weeks +6.0% Volume Change ®158 °F., 100% Humidity, 2 weeks 86% Note: The physical properties listed above are presented as typical average values as determined by accepted ASTM test methods and are subject to normal manufacturing variation. MANMADE COUNTY APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 2 of 7 EVIDENCE SUBMITTED: Test AMencv Test Identifier Test Name/Report Date Center for Applied Engineering #94 -060 TAS 101 04/08/94 257818 -1PA TAS 101 12/16/96 25- 7438 -3 SSTD 11 -93 10/25/95 25- 7438 -4 25- 7438 -7 SSTD 11 -93 11/02/95 25 -7492 SSTD 11 -93 12/12/95 Miles Laboratories NB- 589 -631 ASTM D 1623 02/01/94 Polymers Division Ramtech Laboratories, Inc. 9637 -92 ASTM E 108 04/30/93 Southwest Research Institute 01 -6743 -011 ASTM E 108 11/16/94 01- 6739- 062b[1] ASTM E 84 01116/95 Trinity Engineering 7050.02.96 -1 TAS 114 03/14/96 Celotex Corp. Testing Services 528454 -2 -1 TAS 101 10/23/98 528454 -9 -1 528454 -10 -1 520109 -1 TAS 101 12/28/98 520109 -2 520109 -3 520109 -6 520109 -7 520191 -1 TAS 101 03/02/99 520109 -2 -1 LIMITATIONS: 1. Fire classification is not part of this acceptance. Refer to the Prepared Roof Tile Assembly for fire rating. 2. Polypro® AH160 shall solely be used with flat, low, & high tile profiles. 3. Minimum underlayment shall be in compliance with the Roofing Application Standard RAS 120. 4. Roof Tile manufactures acquiring acceptance for the use of Polypro® AH160 roof tile adhesive with their tile assemblies shall test in accordance with TAS 101. 5. Roof Tile manufactures acquiring acceptance for the use of HANDI -STICK roof tile adhesive with their tile assemblies shall test in accordance with TAS 101 with section 10.4 as modified herein. —W 2 MS MIAMIDADEcowrY APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 3 of 7 INSTALLATION: 1. Polypro® AH160 may be used with any roof tile assembly having a current NOA that lists uplift resistance values with the use of Polypro® AH160. 2. Polypro® AH160 shall be applied in compliance with the Component Application section and the corresponding Placement Details noted herein. The roof tile assembly's adhesive attachment with the use of Polypro® AH160 shall provide sufficient attachment resistance, expressed as an uplift based system, to meet or exceed the uplift resistance determined in compliance with Miami -Dade County Roofing Application Standards RAS 127. The adhesive attachment data is noted in the roof tile assembly NOA 3. Polypro® AH160 roof tile adhesive and its components shall be installed in accordance' with Roofing Application Standard RAS 120, and Polyfoam Products, Inc. Polypro® AH160 Operating Instruction and Maintenance Booklet. 4. Installation must be by a Factory Trained 'Qualified Applicator' approved and licensed by Polyfoam Products, Inc. Polyfoam Products Inc. shall supply a list of approved applicators to the authority having jurisdiction. 5. Calibration of the Foampro® dispensing equipment is required before application of any adhesive. The mix ratio between the "A" component and the "B" component shall be maintained between 1.0- 1.15 (A): 1.0 (B). The dispense timer shall be set to deliver 0.0175 to 0.15 pounds per tile as determined at calibration. No other settings shall be approved. 6. Polypro® AH160 shall be applied with Foanipro RTF1000 or ProPacko 30 & 100 dispensing equipment only. 7. Polypro AH160 shall not be exposed permanently to sunlight. 8. Tiles must be adhered in freshly applied adhesive. Tile must be set within 2 to 3 minutes after Polyproc) AH160 has been dispensed. 9. Polypro® AH160 placement and minimum patty weight shall be in accordance with the 'Placement Details' herein. Each generic tile profile requires the specific placement noted herein. Table 1: Adhesive Placement For Each Generic Tile Profile Tile Profile Placement Detail Single Paddy Weight Min. (grams) Two Paddy Weight per paddy Min. (grams) Flat, Low, High Profiles #1 35 N/A High Profile (2 Piece Barrel) #1 17 /side on cap and 34 /pan N/A Flat, Low, High Profiles #2 24 N/A Flat, Low, High Profiles #3 8 LABELING: All Polypro® AH160 containers shall comply with the Standard Conditions listed herein. BUILDING PERMIT REQUIREMENTS: As required by the Building Official or applicable building code in order to properly evaluate the installation of this system. MIAMIDADE COUNTY APPROVED NOA No.: 11- 0124.04 Expiration Date: 05110/12 Approval Date: 04 /14/11 Page 4 of 7 ADHESIVE PLACEMENT DETAIL 1 SINGLE PATTY Eave caaraeoniy. Keep Wallin approx, 4laup from asphalts MIAMICADE COUNTY APPROVED 1) Plato enough adhesive toechleva1tto23 Cfp ral2x4efor square Intim Incontactvcdlhthe pan tile steep PIS aPP2 2) Turn towns upside down. Phu adhesive 112In` Tot hr. From outside adgoofcovorgk. .,�� Then WWI the tie, Undetlayment Nag through plastic camant topperilon ofiheeave course coverRIO. Abut toaecond awn of pan Rita w tour n and of oars Hnahat tare Dna. Eno clone Weephoto Fascia (mortar shown) Shaddng Optional Potnbup Mortar on longitudlnel !Ago (lla NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 5 of 7 ADHESIVE PLACEMENT DETAIL 2 SINGLE PATTY Nall through plastic cement Underlayment Paddy (Beneath TOO Eevo Course MIAMFDADE COUNTY APPROVED Fascia Eave Closure NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04 /14/11 Page 6 of 7 ADHESIVE PLACEMENT DETAIL 3 DOUBLE PATTY Nall through plastic cement Paddy (between tile) Paddy (under tilo) • x3I x 31n. Single paddy on under Iaymont Single paddy under tile Single paddy on top of file course In. X7 in. medium size paddyeave Fascia course only Nall through plastic cement Nall through plastic cement Underlayment Single paddy under tile Single paddy between the 2 In. x 7 In. medium size paddy eave course only in.x 3 in. sloe 4 in.. paddy on under - layment Single paddy on top of the terse Fascia Weephole Eave closure Drip edge Single paddy between tile Pokin.x 3 In. Single paddy onunderlaymant Single paddy on top of tile Eava Course Eave Closure 21n. x 7 In. medium size paddy save course only Fascia END OF THIS ACCEPTANCE MANMADE COUNTY APPROVED NOA No.: 11-0124.04 Expiration Date: 05/10/12 Approval Date: 04/14/11 Page 7 of 7 4 DEPARTMENT OF PERMITTING, ENVIRONMENT, AND REGULATORY AFFAIRS (PERA) BOARD AND CODE ADMINISTRATION DIVISION NOTICE OF ACCEPTANCE (NOA) MIAMI -DADE COUNTY PRODUCT CONTROL SECTION 11805 SW 26 Street, Room 208 Miami, Florida 33175 -2474 T (786) 315 -2590 F (786) 315 -2599 www.miamidade.eov /pera Ceramica Verea Ctra. N -634 San Sebastian, Santiago, Km 683 Lanza S/N 15685 Mesia (Coruna) Spain SCOPE: This NOA is being issued under the applicable rules and regulations governing the use of construction materials. The documentation submitted has been reviewed and accepted by Miami -Dade County PERA - Product Control Section to be used in Miami Dade County and other areas where allowed by the Authority Having Jurisdiction (AHJ). This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control Section (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to have this product or material tested for quality assurance purposes. If this product or material fails to perform in the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately revoke, modify, or suspend the use of such product or material within their jurisdiction. PERA reserves the right to revoke this acceptance, if it is determined by Miami -Dade County Product Control Section that this product or material fails to meet the requirements of the applicable building code. This product is approved as described herein, and has been designed to comply with the Florida Building Code including the High Velocity Hurricane Zone of the Florida Building Code. DESCRIPTION: Cl anis "C" Roof Tile LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein. RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no change in the applicable building code negatively affecting the performance of this product. TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply with any section of this NOA shall be cause for termination and removal of NOA. ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall be done in its entirety. INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors and shall be available for inspection at the job site at the request of the Building Official. This NOA consists of pages 1 through 6. The submitted documentation was reviewed by Alex Tigera. NOA No.: 11- 0722.02 Expiration Date: 03/13/13 Approval Date: 02/09/12 Page 1 of 6 ROOFING ASSEMBLY APPROVAL Category: Sub Category: Material: Roofing Roofing Tiles Clay 1. SCOPE This approves a roofing system using Clay Spanish "S" Roof Tile manufactured by Ceramica Verea, S.A. in La Coruna, Spain and is distributed by Ceramica Verea, USA, as described in Section 2 of this Notice of Acceptance. For locations where the pressure requirements, as determined by applicable Building Code does not exceed the design pressure values obtained by calculations in compliance with RAS 127 using the values listed in section 4 herein. The attachment calculations shall be done as a moment based system. 2. PRODUCT DESCRIPTION Manufactured by Applicant Dimensions Clay Spanish "S" Roof L = 19.5" Tile W =11.3" Trim Pieces Length: varies Width: varies varying thickness 2.1 MANUFACTURING LOCATION 2.1.1. San Sebastian, Spain Test Specifications ASTM C1167 ASTM C1167 2.2 EVIDENCE SUBMITTED Test Agency Test Identifier American Test Lab of South RT0706.01 -11 Florida IBA Consultants, Inc. 4709 -3 Product Description High profile clay roof tile. For direct deck, adhesive set applications. Accessory trim, clay roof pieces for use at hips, rakes, ridges and valley terminations manufactured for each tile profile. Test Name/Report ASTM C 1167 TAS 101 Date 07/19/11 12/21/07 NOA No.: 11- 0722.02 Expiration Date: 03/13/13 Approval Date: 02/09/12 Page 2 of 6 3. LIMITATIONS: 3.1 Fire classification is not part of this acceptance. 3.2 For mortar or adhesive set tile applications, a static field uplift test in accordance with TAS 106 may required, refer to applicable building code. 3.3 Applicant shall retain the services of a Miami -Dade County Certified Laboratory to perform quarterly test in accordance with TAS 112, appendix 'A'. Such testing shall be submitted to the Building and Neighborhood Compliance Department — Product Control Section for review. 3.4 Minimum underlayment shall be in compliance with the applicable Roofing Applications Standards listed section 4.1 herein. 3.5 30/90 hot mopped underlayment applications may be installed perpendicular to the roof slope unless stated otherwise by the underlayment material manufacturers published literature. 3.6 This acceptance is for wood deck applications. Minimum deck requirements shall be in compliance with applicable building code. 4. INSTALLATION 4.1 Clay Spanish "S" Tile and its components shall be installed in strict compliance with Roofing Application Standard RAS -120. 4.2 Data For Attachment Calculations. Table 1: Average Weight (W) and Dimensions (1 x w ) Tile Profile Weight -W (lbf) Length -1 (ft) Width -w (ft) Clay Spanish "S" Tile 8.3 1.625 0.942 Table 3: Restoring Moments due to Gravity - Mg (ft-ibf) Table 2: Aerodynamic Multipliers - A (ft3) Tile Profile 3 ":12" A (ft3) Batten Application A (ft3) Direct Deck Application Clay Spanish "S" Tile 6 ":12" N/A 0.37 Table 3: Restoring Moments due to Gravity - Mg (ft-ibf) Tile Profile 2 ":12" 3 ":12" 4 ":12 "\ Polyfoam PolyProM 5 ":12" 6 ":12" 7 ":12" or Greater Clay Spanish "S" Tile Direct Deck Direct Deck Direct Deck Direct Deck Direct Deck Direct Deck 6.46 6.36 6.21 6.01 5.74 5.40 Table 6: Attachment Resistance Expressed as a Moment - Mt (ft -Ibf) for Single Patty Adhesive Set Systems Tile Profile Tile Application Minimum Attachment et Clay Spanish "S" Tile Polyfoam PolyProM 63.2121 1 Large paddy placement weight 34.6 grams of PolyProTM'. NOA No.: 11- 0722.02 Expiration Date: 03/13/13 Approval Date: 02/09/12 Page 3 of 6 5. LABELING 5.1 All tiles shall bear the imprint or identifiable marking of the manufacturer's name or logo as detailed below, or following statement: "Miami -Dade County Product Control Approved ". VEREA SPAIN CE LABEL FOR CLAY SPANISH "S" ROOF TILE (LOCATED ON THE SIDE OF TILE) 6. BUILDING PERMIT REQUIREMENTS: 6.1 Application for building permit shall be accompanied by copies of the following: 6.1.1 This Notice of Acceptance. 6.1.2 Any other documents required by Building Official or Applicable building code in order to properly evaluate the installation of this system. NOA No.: 11- 0722.02 Expiration Date: 03/13/13 Approval Date: 02/09/12 Page 4 of 6 PROFILE DRAWING CLAY SPANISH S ROOF TILE END OF THIS ACCEPTANCE NOA No.: 11- 0722.02 Expiration Date: 03/13/13 Approval Date: 02/09/12 Page 5 of 6 w. GREEN SUSTAINABLE ATTRIBUTES (GSA) SCOPE: This document is solely for the purpose of verification of Sustainable Attributes of construction materials. The documentation submitted has been reviewed by Miami -Dade County Product Control Section. Component Name Initial Reflectance Aaed Reflectance Initial Emmitance Aaed, Emmitance Solar Reflectance Index (SRI), 1. Clay Spanish "S" Tile 0.39 Pending 0.83 Pending 41 NOA No.: 11- 0722.02 Expiration Date: 03/13/13 Approval Date: 02/09/12 Page 6 of 6